IMANI A GAULT

BALTIMORE, MD
NPI1538902143
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-06-13
Last Update Date2024-06-13
Business Address
IMANI A GAULT ADT
3310 EASTERN AVE
BALTIMORE, MD 21224-4108
Phone number: 667-239-7350
Mailing Address
IMANI A GAULT ADT
9808 BAYLINE CIR
OWINGS MILLS, MD 21117-5620
Phone number: 410-469-0568