# PUBLIC CHARTER SCHOOL CENTER FOR STUDENT SUPPORT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Student Support Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760503197
- **Authorized official:** MS. CAROLYN L GARDNER II (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (202) 628-8848

## Contact information

- **Practice address:** 1003 K ST NW, SUITE 405, WASHINGTON, DC 20001-4425
- **Practice address phone:** (202) 628-8848
- **Practice address fax:** (202) 628-8849
- **Mailing address:** 1003 K ST NW, SUITE 405, WASHINGTON, DC 20001-4425
- **Mailing address phone:** (202) 628-8848
- **Mailing address fax:** (202) 628-8849

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 036394400 | DC | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 06/18/2008