Organization
HOLISTIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKITA PION-KLOCKNER LCSW (OWNER/PSYCHOTHERAPIST)
(202) 495-0876
Entity
Organization
Contact information
Practice address
7034 CARROLL AVE STE 1, TAKOMA PARK, MD 20912-4434
(202) 495-0876
Mailing address
7034 CARROLL AVE STE 1, TAKOMA PARK, MD 20912-4434
(202) 495-0876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16570
MD
Other
Enumeration date
09/20/2016
Last updated
09/20/2016
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