Organization
SHONA WELLNESS GROUP LLC
Active
Organization
SHONA WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA C CAMPBELL LICSW (SOCIAL WORKER)
(202) 431-1682
Entity
Organization
Contact information
Practice address
1030 KEARNY ST NE, WASHINGTON, DC 20017-3518
(202) 431-1682
Mailing address
6621 HIGHGATE DR, FORT WASHINGTON, MD 20744-1002
(202) 431-1682
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
200-1064
DC
101YP2500X
Professional Counselor
PRC293
DC
1041C0700X
Clinical Social Worker
Primary
LC50080073
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326468950
—
DC
05
—
1326475492
—
DC
Enumeration date
04/07/2016
Last updated
10/18/2016
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