Provider Demographics
NPI:1952723595
Name:FRIMPONG, ADAUGO A (LPC)
Entity Type:Individual
Prefix:
First Name:ADAUGO
Middle Name:A
Last Name:FRIMPONG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ADAUGO
Other - Middle Name:
Other - Last Name:OHANYERENWA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:2918 GEORGE HILLEARY TER
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-9316
Mailing Address - Country:US
Mailing Address - Phone:301-523-8254
Mailing Address - Fax:
Practice Address - Street 1:4330 S LEE ST STE 200A
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-5796
Practice Address - Country:US
Practice Address - Phone:340-473-5146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-16
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16695101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD963213OtherMEDICARE