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Individual

JOSEPH ATSIANZALE WAKHANALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
1221 TAYLOR ST NW, WASHINGTON, DC 20011-5617
(202) 464-9200
(202) 291-2160
Mailing address
5600 54TH AVE APT 602, RIVERDALE, MD 20737-2256
(240) 646-6118

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC2248
MD
101YP2500X
Professional Counselor
Primary
PRC14851
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011019100
MD
Enumeration date
05/12/2008
Last updated
10/18/2024
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