Individual
DEJUAN DWAYNE FELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 SMITH AVE, BALTIMORE, MD 21209-3878
(410) 805-1070
Mailing address
1330 SMITH AVE, BALTIMORE, MD 21209-3878
(410) 805-1070
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144788316
—
MD
Enumeration date
04/23/2019
Last updated
11/27/2023
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