Individual
MITRA NASROLLAHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 KENNEDY ST NW STE 2-A, WASHINGTON, DC 20011-3136
(202) 743-4884
Mailing address
621 LONGFELLOW ST NW, WASHINGTON, DC 20011-3015
(818) 579-3366
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGPC20000007
DC
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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