Individual
JOHNETTA SAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1638 R ST NW STE 314-316, WASHINGTON, DC 20009-6446
(202) 618-0744
(202) 810-9097
Mailing address
1032 15TH ST NW, WASHINGTON, DC 20005-1502
(202) 618-0744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-5272962
MENTAL HEALTH
DC
Enumeration date
04/28/2022
Last updated
04/28/2022
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