Individual
DAVYNTE PANNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
915 RHODE ISLAND AVE NW, WASHINGTON, DC 20001-4153
(301) 848-9608
Mailing address
PO BOX 20380, NEWARK, NJ 07101-6380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00509500
NJ
101YP2500X
Professional Counselor
Primary
PRC200001572
DC
Other
Enumeration date
08/26/2021
Last updated
08/02/2023
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