Individual
MS. THECLA ASOLUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
100 WEST RD STE 300, TOWSON, MD 21204-2370
(410) 801-7822
(410) 801-7821
Mailing address
100 WEST RD STE 300, TOWSON, MD 21204-2370
(410) 801-7822
(410) 801-7821
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R143678
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202061100
—
MD
Enumeration date
12/05/2019
Last updated
12/18/2025
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