Individual
MR. JIMMIE CHEAVOU HAYDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(202) 547-8450
Mailing address
1622 MANCHESTER LN NW, WASHINGTON, DC 20011-2863
(202) 726-9295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PRC1124
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2470468
—
DC
Enumeration date
03/01/2019
Last updated
03/01/2019
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