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4014 Georgia Ave Nw Washington DC 20011-5857 | |
| (202) 246-2855 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4014 Georgia Ave Nw, Washington, District Of Columbia |
| Authorized Official Name and Position | Kevin L Jones (OWNER/CEO) |
| Authorized Official Contact | 2022462855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4091 Silver Park Ter Suitland MD 20746-3047 Ph: (202) 246-2855 | 4014 Georgia Ave Nw Washington DC 20011-5857 Ph: (202) 246-2855 |
| NPI Number | 1083127666 |
|---|---|
| Provider Enumeration Date | 11/06/2017 |
| Last Update Date | 02/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083127666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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