Individual
DARYLEVUANIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
309 MADISON ST NW, WASHINGTON, DC 20011-2138
(202) 957-6174
Mailing address
309 MADISON ST NW, WASHINGTON, DC 20011-2138
(202) 957-6174
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PRC14623
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PRC14623
DC DEPARTMENT OF HEALTH
DC
Enumeration date
02/19/2016
Last updated
02/19/2016
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