person
Demitri Kornegay
Professional Counselor in Bowie, Maryland
NPI 1417413253

Demitri Kornegay is a Professional Counselor based in Bowie, MD and is specialized in Professional. Demitri Kornegay practices in Bowie, MD. The NPI Number for Demitri Kornegay is 1417413253 and holds a License No. 9050 (Maryland).

The current practice location address for Demitri Kornegay is 12805 Vicar Woods Ln, Bowie, MD and can be reached out via phone at 240-876-3828 and via fax at 301-809-6194.

Location: 12805 Vicar Woods Ln, Bowie, MD, 20720-4770
person
Provider Profile Details
NPI Number
1417413253
Provider Name
Demitri Kornegay
Credential
Provider Entity Type
Individual
Gender
Male
Address
12805 Vicar Woods Ln, Bowie, MD, 20720-4770
Phone Number
240-876-3828
Fax Number
301-809-6194
Provider Enumeration Date
02/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12805 Vicar Woods Ln
City
State
Zip
20720-4770
Phone Number
240-876-3828
Fax Number
301-809-6194
person
Provider Business Mailing Address Details
Address
12805 Vicar Woods Ln
City
State
Zip
20720-4770
Phone Number
240-876-3828
Fax Number
301-809-6194
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
9050 (Maryland)
Definition
Definition to come...
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