Organization
PUBLIC CHARTER SCHOOL CENTER FOR STUDENT SUPPORT SERVICES
Active
Other names
Student Support Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN L GARDNER II (EXECUTIVE DIRECTOR)
(202) 628-8848
Entity
Organization
Contact information
Practice address
1003 K ST NW, SUITE 405, WASHINGTON, DC 20001-4425
(202) 628-8848
(202) 628-8849
Mailing address
1003 K ST NW, SUITE 405, WASHINGTON, DC 20001-4425
(202) 628-8848
(202) 628-8849
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
036394400
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036394400
—
DC
Enumeration date
04/03/2007
Last updated
06/18/2008
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