Provider Demographics
NPI:1205679347
Name:DJIGAL, ADINNIA
Entity type:Individual
Prefix:
First Name:ADINNIA
Middle Name:
Last Name:DJIGAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3819 HARBOR RD UNIT 103
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE BEACH
Mailing Address - State:MD
Mailing Address - Zip Code:20732-3110
Mailing Address - Country:US
Mailing Address - Phone:410-286-0547
Mailing Address - Fax:410-286-8950
Practice Address - Street 1:3819 HARBOR RD UNIT 103
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE BEACH
Practice Address - State:MD
Practice Address - Zip Code:20732-3110
Practice Address - Country:US
Practice Address - Phone:410-286-0547
Practice Address - Fax:410-286-8950
Is Sole Proprietor?:No
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional