Individual
ZEBAZE ELSSA KENFACK YMELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2275 RESEARCH BLVD STE 500, ROCKVILLE, MD 20850-6203
(240) 428-0465
Mailing address
6305 IVY LN, GREENBELT, MD 20770-1465
(202) 790-8903
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP11817
MD
106S00000X
Behavior Technician
RBT-21-171569
MD
Other
Enumeration date
06/17/2021
Last updated
10/08/2021
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