Individual
MR. WALSTON ERNEST BARBOUR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2817 63RD AVE, CHEVERLY, MD 20785-3104
(202) 369-4743
Mailing address
2817 63RD AVENUE, CHEVERLY, MD 20785
(202) 369-4743
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PRC14014
DC
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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