Individual
MANUELA MBOUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
2000 MARBURY DR, DISTRICT HEIGHTS, MD 20747-2334
(301) 336-7600
(301) 499-2121
Mailing address
2000 MARBURY DR, DISTRICT HEIGHTS, MD 20747-2334
(301) 336-7600
(301) 499-2121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP8691
MD
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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