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Individual

MS. JUANITA DESHAZIOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1301 L'ENFANT SQUARE, SE, ALERNATIVE SOLUTIONS FOR YOUTH, WASHINGTON, DC 20020
(202) 584-1244
Mailing address
5300 HOLMES RUN PKWY, ALEXANDRIA, VA 22304-2834
(703) 901-5592
(571) 257-5551

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
219194
NC
101YM0800X
Mental Health Counselor
Primary
PRC14035
DC

Other

Enumeration date
11/20/2009
Last updated
11/20/2009
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