Individual provider · Type 1 NPI
Asenith Debbra Mayberry, CAC-AD, ADS
Addiction (Substance Use Disorder) Counselor · Capitol Heights, MD
NPI number
1457620064
Active
Practice location
409 Addison Rd S
Capitol Heights, MD 20743-3237
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | AC1089 (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1457620064
Asenith Debbra Mayberry, CAC-AD, ADS's National Provider Identifier is 1457620064, issued on Dec 28, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Capitol Heights, MD. The record was last updated on Dec 28, 2011.