Individual
AMANDA KOHUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
21770 FRANKLIN DELANO ROOSEVELT BLVD, LEXINGTON PARK, MD 20653
(301) 997-1300
Mailing address
45678 NICHOLAS CT, GREAT MILLS, MD 20634-2496
(301) 672-4348
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT2600
MD
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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