Provider Demographics
NPI:1821592171
Name:KARRIEM, AQUEELAH ALIYYAH (LPC)
Entity Type:Individual
Prefix:MS
First Name:AQUEELAH
Middle Name:ALIYYAH
Last Name:KARRIEM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4714 23RD PKWY APT 4
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-4528
Mailing Address - Country:US
Mailing Address - Phone:240-893-6844
Mailing Address - Fax:
Practice Address - Street 1:4714 23RD PKWY APT 4
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-4528
Practice Address - Country:US
Practice Address - Phone:240-893-6844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-21
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14965101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional