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Behavioral Health & Social Service Providers Counselor Professional

Provider NPI: 1407484579

Provider Information:
Gender: F
Sole Proprietor

Practice Location:
1634 I ST NW STE 1200  WASHINGTON, DC 20006-4011 US
Tel: 202-570-4023  Fax: --

Business Mailing Address:
316 F ST NE STE 201  WASHINGTON, DC 20002-4934 US
Tel: 202-570-4023  Fax: --

NPI Information:
NPI: 1407484579
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
N106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 101YP2500X





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