Provider Demographics
NPI:1235974767
Name:TEWOLDE, ASMERET
Entity type:Individual
Prefix:
First Name:ASMERET
Middle Name:
Last Name:TEWOLDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7885 KING ARTHUR CT
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-3429
Mailing Address - Country:US
Mailing Address - Phone:240-406-6249
Mailing Address - Fax:
Practice Address - Street 1:7885 KING ARTHUR CT
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3429
Practice Address - Country:US
Practice Address - Phone:240-406-6249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor