Individual
DESHAWNA MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 WALKER AVE STE 304, PIKESVILLE, MD 21208-4067
(443) 213-8243
Mailing address
19 WALKER AVE STE 304, PIKESVILLE, MD 21208-4067
(443) 213-8243
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MD
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NONE
—
MD
Enumeration date
01/13/2023
Last updated
01/13/2023
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