JZUA KURNIAWANTO

FREDERICK, MD
NPI1063271062
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies101Y00000X Counselor
101YA0400X Counselor, Addiction (Substance Use Disorder)
101YM0800X Counselor, Mental Health
104100000X Social Worker
Enumeration Date2024-03-13
Last Update Date2024-03-13
Business Address
JZUA KURNIAWANTO
8654 INDIAN SPRINGS RD
FREDERICK, MD 21702-2328
Phone number: 240-383-5874
Mailing Address
JZUA KURNIAWANTO
8654 INDIAN SPRINGS RD
FREDERICK, MD 21702-2328
Phone number: