Individual
MARCUS ISIAH MOORHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CRC, LPC
Contact information
Practice address
2000 P ST NW STE 200, WASHINGTON, DC 20036-6924
(410) 961-7192
Mailing address
PO BOX 830, CHRISTIANSTED, VI 00821-0830
(340) 626-8829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGPC00568
DC
101YM0800X
Mental Health Counselor
Primary
PRC200001188
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037707744
—
DC
Enumeration date
11/21/2019
Last updated
09/01/2021
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