Individual
LARISSA LINETTE SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2918 MINNESOTA AVE SE, WASHINGTON, DC 20019-1127
(202) 469-0229
Mailing address
1160 VARNUM ST NE STE 215, WASHINGTON, DC 20017-2106
(202) 469-0229
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
DC
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
DC
Other
Enumeration date
11/25/2022
Last updated
06/16/2023
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