Individual
LENA MARIE DERHALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3808 FULTON ST NW, WASHINGTON, DC 20007-1344
(512) 560-7277
Mailing address
3808 FULTON ST NW, WASHINGTON, DC 20007-1344
(512) 560-7277
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
PRC14540
DC
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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