Organization
MORDECAI ANDEMICHAEL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORDECAI ANDEMICHAEL (THERAPIST)
(240) 476-2629
Entity
Organization
Contact information
Practice address
4413 REAMY DR, SUITLAND, MD 20746-3745
(301) 244-9131
Mailing address
4413 REAMY DR, SUITLAND, MD 20746-3745
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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