Individual
MS. ASENITH DEBBRA MAYBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC-AD, ADS
Contact information
Practice address
409 ADDISON RD S, CAPITOL HEIGHTS, MD 20743-3237
(301) 808-0322
Mailing address
409 ADDISON RD S, CAPITOL HEIGHTS, MD 20743-3237
(301) 808-0322
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC1089
MD
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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