Individual
DORA GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 COLUMBIA RD NW, WASHINGTON, DC 20009-4705
(202) 321-3369
Mailing address
1419 COLUMBIA RD NW, WASHINGTON, DC 20009-4705
(202) 321-3369
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC11026
DC
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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