Organization
OVER THE RAINBOW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER J FUENTES MS NCC LPC (FOUNDER AND CLINICIAN)
(540) 455-2585
Entity
Organization
Contact information
Practice address
2737 DEVONSHIRE PL NW, UNIT I, WASHINGTON, DC 20008-3479
(540) 455-2585
Mailing address
2737 DEVONSHIRE PL NW, UNIT I, WASHINGTON, DC 20008-3479
(540) 455-2585
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PRC13849
DC
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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