Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1003466749 |
---|---|
Provider Name | Dr. Nicola Aelish Meade |
First Address | Norfolk, VA 23503-2905 |
Second Address | Gaithersburg, MD 20879-6200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2019 |
Last Update Date | 15/09/2019 |