Individual
MR. NEIVILLE AGHANDUM TEZI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6715 LAMONT DR, 2041 MLK JR. AVE SE, SUITE, DC 20020
(240) 487-8072
Mailing address
6715 LAMONT DR, LANHAM, MD 20706-3734
(240) 487-8072
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
06/01/2023
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