Individual
CHANTELLE HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MA, LPC
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(202) 547-8450
Mailing address
2041 MARTIN LUTHER KING JR AVE SE STE M8205239, WASHINGTON, DC 20020-7024
(202) 547-8450
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC15774
MD
101YP2500X
Professional Counselor
Primary
PRC200002265
DC
Other
Enumeration date
10/27/2022
Last updated
02/05/2025
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