Individual
MR. TUBARUS CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2200 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-1709
(202) 441-0842
Mailing address
PO BOX 15765, WASHINGTON, DC 20003-0765
(202) 441-0842
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC3626
MD
101YP2500X
Professional Counselor
Primary
PRC14348
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC3626
DEPARTMENT OF HEALTH AND MENTAL HYGIENE
MD
01
—
PRC14348
DEPARTMENT OF HEALTH LICENSING
DC
Enumeration date
10/17/2014
Last updated
10/18/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us