Individual
MR. DAVID DARYL NICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
707 ADRIAN ST SE, WASHINGTON, DC 20019-4202
(301) 922-8621
Mailing address
707 ADRIAN ST SE, WASHINGTON, DC 20019-4202
(301) 922-8621
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
80000067
DC
106H00000X
Marriage & Family Therapist
LMFT000098
DC
Other
Enumeration date
07/08/2013
Last updated
07/29/2013
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