Divine Achu
Community Health Worker in Laurel, MD. Individual provider (NPI-1).
NPI number1619670890
StatusActive
Last updated in NPPESApr 28, 2023
Details
- NPI
- 1619670890
- Entity type
- Individual (NPI-1)
- Name
- Divine Achu
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 24, 2023
- Certification date
- Apr 28, 2023
- Last updated
- Apr 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
9333 Steeple CtLaurel, MD 20723-5820
Phone 240-486-0357
Mailing address
9333 Steeple CtLaurel, MD 20723-5820
Phone 240-486-0357
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