Individual
ALFRED JAM NSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 388-4300
Mailing address
6831D RIVERDALE RD APT D201, RIVERDALE, MD 20737-3875
(202) 367-7159
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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