Individual
CARL NATHANIEL BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4414 3RD ST SE # EB, WASHINGTON, DC 20032-3229
(240) 370-2454
Mailing address
2031 BROOKS DR APT 713, DISTRICT HEIGHTS, MD 20747-1009
(240) 370-2454
(202) 832-3454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1177
DC
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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