Individual
DIVINE ACHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9333 STEEPLE CT, LAUREL, MD 20723-5820
(240) 486-0357
Mailing address
9333 STEEPLE CT, LAUREL, MD 20723-5820
(240) 486-0357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
04/28/2023
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