Individual
MAYA THAKE CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, PCD(DONA)
Contact information
Practice address
5020 14TH ST NE, WASHINGTON, DC 20017-2807
(812) 568-9821
Mailing address
5020 14TH ST NE, WASHINGTON, DC 20017-2807
(812) 568-9821
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/22/2025
Last updated
03/22/2025
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