Individual
ELISABETH NGUTY NKENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12401 BRICKYARD BLVD APT 4030, BELTSVILLE, MD 20705-1649
(510) 605-2795
Mailing address
12401 BRICKYARD BLVD APT 4072, BELTSVILLE, MD 20705-1654
(510) 605-2795
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/04/2021
Last updated
08/03/2023
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