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Organization

HEALING GENERATIONS PSYCHOLOGICAL SERVICES AND CONSULTATION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE L CAMMACK PH.D. (LICENSED CLINICAL PSYCHOLOGIST/CEO)
(703) 594-6794
Entity
Organization

Contact information

Practice address
475 K ST NW UNIT 1027, WASHINGTON, DC 20001-5271
(703) 594-6794
Mailing address
475 K ST NW UNIT 1027, WASHINGTON, DC 20001-5271

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
01/18/2022
Last updated
01/18/2022
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