Individual
MISS MFOUMOU MINLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17904 GEORGIA AVE STE 200, OLNEY, MD 20832-2277
(240) 304-3327
Mailing address
3563 SPRIGG ST S, FREDERICK, MD 21704-7836
(301) 828-7863
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LGP13425
MD
101YM0800X
Mental Health Counselor
Primary
LGP13425
MD
101YP2500X
Professional Counselor
LGP13425
MD
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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