Makonnen Therapeutic Services
NPI #1558893586 in Gaithersburg, Maryland
Provider Information
- NPI Number
- 1558893586
- Entity Type
- Organization
- Organization Name
- Makonnen Therapeutic Services
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Mar 29, 2017
- Last Updated
- Mar 29, 2017
Practice Location
- Address
- 881 FLAGLER DR
- City
- Gaithersburg
- State
- Maryland
- ZIP Code
- 20878-1968
- Phone
- (410) 422-3386
Authorized Official
- Name
- MS. RAEJON LYNNE MAKONNEN
- Title
- OWNER
- Phone
- (410) 422-3386
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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