Individual
AMY MELISSA LISLE FOEHRKOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 TAYLOR ST NW, WASHINGTON, DC 20011-5617
(202) 464-9200
(202) 464-5740
Mailing address
1221 TAYLOR ST NW, WASHINGTON, DC 20011-5617
(202) 464-9200
(202) 464-5740
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC13899
DC
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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