Individual
LYDIA GUMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 OWEN PL NE, WASHINGTON, DC 20002-2609
(202) 316-6369
Mailing address
1115 OWEN PL NE, WASHINGTON, DC 20002-2609
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PRC13992
DC
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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