Individual
GABRIELLE HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2938 UPTON STREET NW, BLDG 2, WASHINGTON, DC 20008-1151
(202) 999-5242
(914) 219-1084
Mailing address
2938 UPTON STREET NW, BLDG 2, WASHINGTON, DC 20008-1151
(202) 999-5242
(914) 219-1084
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
LC50080704
DC
103TC1900X
Counseling Psychologist
Primary
LC50080704
DC
103TF0000X
Family Psychologist
LC50080704
DC
103TS0200X
School Psychologist
LC50080704
DC
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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