| Doctor Name: | KINGSLEY I DURU |
| NPI Number: | 1033348214 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW,MFT |
| License Number: | LMFT000080 |
| Business Practice Address: | 7606 Fontainbleau Dr 211 New Carrollton, MD - 207843808 |
| Business Phone Number: | 2022103589 |
| Business Fax Number: | |
| Mailing Address: | 7606 Fontainbleau Dr, Suite 211 NEW CARROLLTON |
| State: | MD |
| Postal Code: | 207843808 |
| Phone Number: | 2022103589 |
| Fax Number: | |
| NPI Enumeration Date: | 07/08/2009 |
| NPI Last Update Date: | 07/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LMFT000080 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |