Most Relevant Information
Provider Data
| NPI Number: | 1003674805 |
| Provider Name: | TIGISTY REDA ZERISLASSIE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | LC50080271 |
Most Important Dates
| Enumeration Date: | 03/07/2024 |
| Last Updated: | 03/07/2024 |
Provider Practice Location
3351 JONES BRIDGE RD
CHEVY CHASE
MD
20815
Practice Location Phone/Fax
| Phone: | 2022476290 |
| Fax: |
Provider Mailing Location
3351 JONES BRIDGE RD
CHEVY CHASE
MD
208155736
Provider Mailing Phone/Fax
| Phone: | 2022476290 |
| Fax: |