Provider Demographics
NPI:1447079876
Name:UCHE, CHINYERE (ADT)
Entity type:Individual
Prefix:
First Name:CHINYERE
Middle Name:
Last Name:UCHE
Suffix:
Gender:F
Credentials:ADT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 RIORDAN TER
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2438
Mailing Address - Country:US
Mailing Address - Phone:410-900-0123
Mailing Address - Fax:
Practice Address - Street 1:17 E FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2203
Practice Address - Country:US
Practice Address - Phone:410-600-3500
Practice Address - Fax:410-600-3499
Is Sole Proprietor?:No
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDADT3226101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)