Individual
MRS. AGNES REGINA VENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3201 ALABAMA AVE SE, WASHINGTON, DC 20020-1439
(301) 646-4340
Mailing address
3201 ALABAMA AVE SE, WASHINGTON, DC 20020-1439
(301) 646-4340
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CACLL1059
DC
101YM0800X
Mental Health Counselor
PRC14177
DC
101YP2500X
Professional Counselor
Primary
PRC14177
DC
Other
Enumeration date
01/24/2017
Last updated
10/30/2023
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