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Organization
COMPLETE WELLNESS BEHAVIORAL HEALTH LLC
Active
Organization
COMPLETE WELLNESS BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESELLE MATHIAS MOLUA PMHNP (CEO)
(240) 643-5232
Entity
Organization
Contact information
Practice address
7112 SANDOWN CIR APT 303, WINDSOR MILL, MD 21244-7928
(240) 643-5232
Mailing address
7112 SANDOWN CIR APT 303, WINDSOR MILL, MD 21244-7928
(240) 643-5232
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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