Provider Demographics
NPI:1144900200
Name:NJONG, DENIS NJONG
Entity type:Individual
Prefix:
First Name:DENIS
Middle Name:NJONG
Last Name:NJONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3921 LAKEHOUSE ROAD
Mailing Address - Street 2:APT. #21
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705
Mailing Address - Country:US
Mailing Address - Phone:240-726-3799
Mailing Address - Fax:
Practice Address - Street 1:3921 LAKEHOUSE ROAD
Practice Address - Street 2:APT. #21
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705
Practice Address - Country:US
Practice Address - Phone:240-726-3799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty