Organization
IMAGO CENTER WASHINGTON DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL SIEGEL PHD (EXECUTIVE DIRECTOR)
(202) 669-6417
Entity
Organization
Contact information
Practice address
1920 G ST NW, WASHINGTON, DC 20006-4303
(434) 466-4004
Mailing address
7003 PINEY BRANCH RD NW, WASHINGTON, DC 20012-2417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP5845
MD
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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