Individual
MRS. THERESE E PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CA, CHHC, AADP
Contact information
Practice address
2E INDUSTRIAL PARK DR, UNIT 165, WALDORF, MD 20602
(240) 270-2602
Mailing address
1282 SMALLWOOD DR W # 296, WALDORF, MD 20603-4732
(240) 270-2602
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
133N00000X
Nutritionist
Primary
—
—
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
10/24/2012
Last updated
07/25/2023
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