Individual
RAHEEM OMOTOSHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
903 BRIGHTSEAT RD, LANDOVER, MD 20785-4725
(301) 333-2980
Mailing address
851 LOWER MARLBORO RD, HUNTINGTOWN, MD 20639-8925
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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