Annetta Dunklin
Counselor, Professional in Clinton, MD. Individual provider (NPI-1).
NPI number1992470702
StatusActive
Last updated in NPPESAug 13, 2021
Details
- NPI
- 1992470702
- Entity type
- Individual (NPI-1)
- Name
- Annetta Dunklin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 13, 2021
- Certification date
- Aug 13, 2021
- Last updated
- Aug 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LGPC11757 | MD | Yes |
| 101YP2500X | Counselor, Professional | – | – |
Practice location
9015 Woodyard Rd Ste 208Clinton, MD 20735-4209
Phone 202-780-6659
Mailing address
Po Box 541Bowie, MD 20718-0541
Phone 202-780-6659
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