Individual
SHANTEL ASSATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
301 SAINT PAUL ST STE 409, BALTIMORE, MD 21202-2102
(443) 449-5604
Mailing address
13905 ASCOTT DR, UPPER MARLBORO, MD 20772-6934
(202) 440-3530
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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