Individual
BAMBII KREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC-AD
Contact information
Practice address
21770 FRANKLIN DELANO ROOSEVELT BLVD, LEXINGTON PARK, MD 20653
(301) 997-1300
Mailing address
45980 E QUINCY TER, LEXINGTON PARK, MD 20653-6328
(609) 313-2656
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC2733
MD
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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