Individual
MS. CYNTHIA LARDELL JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCADC, MAC
Contact information
Practice address
909 43RD PL NE, WASHINGTON, DC 20019-3713
(202) 399-1107
(202) 399-1778
Mailing address
6703 JAMES FARMER WAY, CAPITOL HEIGHTS, MD 20743-2150
(301) 350-3931
(301) 324-4808
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA359
MD
101YP2500X
Professional Counselor
Primary
PRC16
DC
Other
Enumeration date
04/10/2012
Last updated
04/11/2012
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