Individual
PHILIP NGU NGUNDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA
Contact information
Practice address
14302 PLEASANT VIEW DR, BOWIE, MD 20720-4809
(240) 398-0992
(301) 273-1006
Mailing address
14302 PLEASANT VIEW DR, BOWIE, MD 20720-4809
(240) 398-0992
(301) 273-1006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
12/06/2019
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