Individual
COSMIN GHEORGHE ANTONESCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 FOUNTAIN GREEN LN, GAITHERSBURG, MD 20878-7853
(301) 300-4353
Mailing address
208 FOUNTAIN GREEN LN, GAITHERSBURG, MD 20878-7853
(301) 300-4353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10595
MD
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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