Individual
AMADI NWOKOCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6700 RIDGE RD STE 2, ROSEDALE, MD 21237-3960
(443) 355-1861
Mailing address
6700 RIDGE RD STE 2, ROSEDALE, MD 21237-3960
(443) 355-1861
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC15145
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC15145
MD
101YM0800X
Mental Health Counselor
Primary
LC15145
MD
Other
Enumeration date
06/03/2024
Last updated
01/31/2025
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