Doctor Name: | MRS. DENINE MARIA GUDNITZ |
NPI Number: | 1013242759 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | LC3277 |
Business Practice Address: | 400 Main St Lower Level Gaithersburg, MD - 208786521 |
Business Phone Number: | 3015129922 |
Business Fax Number: | |
Mailing Address: | 12060 Little Patuxent Pkwy Apt C, COLUMBIA |
State: | MD |
Postal Code: | 210444825 |
Phone Number: | 3015129922 |
Fax Number: | |
NPI Enumeration Date: | 10/14/2009 |
NPI Last Update Date: | 07/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC3277 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |