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Individual

MS. IYAMIDE O HOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1227 4TH ST NE, WASHINGTON, DC 20002-3431
(202) 543-8477
Mailing address
14558 LONDON LN, BOWIE, MD 20715-2557
(845) 282-6155

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PRC14583
DC
101YP2500X
Professional Counselor
Primary
PRC14583
DC

Other

Enumeration date
09/21/2015
Last updated
07/27/2016
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