Organization
KOUEKAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS TIOKO (PROVIDER)
(240) 581-2625
Entity
Organization
Contact information
Practice address
7610 CARROLL AVE STE 260, TAKOMA PARK, MD 20912-6302
(240) 581-2625
Mailing address
11973 BELTSVILLE DR, BELTSVILLE, MD 20705-4004
(240) 581-2625
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
05/05/2026
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