Ajavon, Germaine
Ajavon, Germaine is an sole proprietor health care provider with primary practice located at 632 Frederick Rd # 200 , Catonsville MD 21228-4696. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ajavon, Germaine can be contacted via phone (443) 892-0553.Contact Information
Primary practice address
632 Frederick Rd # 200
Catonsville MD 21228-4696
Phone: (443) 892-0553
Fax: (443) 498-9697
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC8469 | Maryland |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1619323573 |
---|---|
LBN Legal business name | Ajavon, Germaine |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 10th, 2016 |
Last updated | Dec 20th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619323573 | NPPES |
Maryland | MEDICAID | 225094200 |
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