Individual
CHRISTIAN MIGUEL DE JESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGAT, ATR-P
Contact information
Practice address
4201 CONNECTICUT AVE NW STE 300, WASHINGTON, DC 20008-1162
(202) 624-0010
Mailing address
800 S WASHINGTON ST APT A108, ALEXANDRIA, VA 22314-4237
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGAT2000008
DC
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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