Individual
THERESA IJEOMA IHEAGWARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10119 AUTUMN RIDGE CT, BOWIE, MD 20721-3153
(240) 544-8092
Mailing address
10119 AUTUMN RIDGE CT, BOWIE, MD 20721-3153
(240) 544-8092
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC13832
MD
Other
Enumeration date
03/05/2021
Last updated
04/03/2026
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