Individual
AKILI BANJO-YEBOAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
718 CLOPPER RD APT 34, GAITHERSBURG, MD 20878-1333
(240) 510-4797
Mailing address
419 MUDDY BRANCH RD APT 202, GAITHERSBURG, MD 20878-2953
(240) 761-2292
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CACII200001240
DC
171M00000X
Case Manager/Care Coordinator
—
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Other
Enumeration date
08/16/2020
Last updated
04/11/2024
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