Mordecai Andemichael LLC

NPI #1023786654 in Suitland, Maryland

Provider Information

NPI Number: 1023786654
Entity Type: Organization
Organization Name: Mordecai Andemichael LLC
Primary Specialty: Counselor
Enumeration Date: Aug 30, 2021
Last Updated: Aug 30, 2021

Practice Location

Address: 4413 REAMY DR
City: Suitland
State: Maryland
ZIP Code: 20746-3745
Phone: (301) 244-9131

Authorized Official

Name: MORDECAI ANDEMICHAEL
Title: THERAPIST
Phone: (240) 476-2629

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor	101Y00000X	Primary

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