Individual
MR. ANDRE DEVETA MOUZONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSC-AD
Contact information
Practice address
3824 W COLD SPRING LN APT A, BALTIMORE, MD 21215-5557
(443) 858-6802
Mailing address
3824 W COLD SPRING LN APT A, BALTIMORE, MD 21215-5557
(443) 858-6802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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