Individual
MATTHEW SIBLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 19TH ST NW, #200, WASHINGTON, DC 20036-1610
(917) 270-3308
Mailing address
1320 19TH ST NW, #200, WASHINGTON, DC 20036-1610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PRC14254
DC
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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