Maryann Etukudo
Maryann Etukudo is a Mental Health Counselor in Laurel, Maryland. Qualified in 2018, 8 years ago. Practices as a sole proprietor.
- Years since qualifying
- 8
- In the registry since
- 2020
Practice location Address checks out
14625 Baltimore Ave # 817Laurel, MD 20707-4902
Phone: (240) 806-8401
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1073115358 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 12, 2020 |
| Last updated in NPPES | November 12, 2020 |
| Certification date | October 18, 2020 |
| Mailing address | 14625 Baltimore Ave # 817, Laurel, MD 20707-4902 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 4 on file with Medicare |
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