Individual
AYSIA CHANEL STOVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
3400 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-1542
(202) 724-7666
Mailing address
3400 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-1542
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
DC
Other
Enumeration date
12/20/2021
Last updated
04/12/2022
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