| Doctor Name: | MS. ASENITH DEBBRA MAYBERRY |
| NPI Number: | 1457620064 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CAC-AD, ADS |
| License Number: | AC1089 |
| Business Practice Address: | 409 Addison Rd S Capitol Heights, MD - 207433237 |
| Business Phone Number: | 3018080322 |
| Business Fax Number: | |
| Mailing Address: | 409 Addison Rd S, CAPITOL HEIGHTS |
| State: | MD |
| Postal Code: | 207433237 |
| Phone Number: | 3018080322 |
| Fax Number: | |
| NPI Enumeration Date: | 12/28/2011 |
| NPI Last Update Date: | 12/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | AC1089 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |