person
Dr. David Imamu Defoe
Professional Counselor in Laurel, Maryland
NPI 1124452123

David Imamu Defoe is a Professional Counselor based in Laurel, MD and is specialized in Professional. David Imamu Defoe practices in Laurel, MD. The NPI Number for David Imamu Defoe is 1124452123 and holds a License No. LC6147 (Maryland).

The current practice location address for David Imamu Defoe is 14502 Greenview Dr Ste 202, Laurel, MD and can be reached out via phone at 301-821-0049 and via fax at 240-513-4122.

Location: 14502 Greenview Dr Ste 202, Laurel, MD, 20708-3287
person
Provider Profile Details
NPI Number
1124452123
Provider Name
David Imamu Defoe
Credential
Provider Entity Type
Individual
Gender
Male
Address
14502 Greenview Dr Ste 202, Laurel, MD, 20708-3287
Phone Number
301-821-0049
Fax Number
240-513-4122
Provider Enumeration Date
08/26/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
873928 05 MD
institution
Provider Business Practice Location Address Details
Address
14502 Greenview Dr Ste 202
City
State
Zip
20708-3287
Phone Number
301-821-0049
Fax Number
240-513-4122
person
Provider Business Mailing Address Details
Address
14502 Greenview Dr Ste 202
City
State
Zip
20708-3287
Phone Number
301-821-0049
Fax Number
240-513-4122
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LC6147 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC6147 (Maryland)
Definition
Definition to come...
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