Individual
DR. THERESA JUANITA GOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(202) 563-7632
Mailing address
311 FIDGEWAY LN, UPPER MARLBORO, MD 20774-8661
(301) 503-0418
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PRC097
DC
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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