Individual
VAKEEMA ENSLEY-CREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC,LGADC
Contact information
Practice address
14402 BEL PRE DR, SILVER SPRING, MD 20906-2250
(240) 630-4334
Mailing address
14402 BEL PRE DR, SILVER SPRING, MD 20906-2250
(240) 630-4334
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP7206
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
LGA2186
MD
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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