Individual
CHRITY NSUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14300 CHERRY LANE CT STE 202-203, LAUREL, MD 20707-4958
(240) 360-2637
Mailing address
14300 CHERRY LANE CT STE 202-203, LAUREL, MD 20707-4958
(240) 360-2637
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660023900
—
MD
Enumeration date
05/28/2019
Last updated
05/28/2019
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