Individual
JEFFREY KILHAM CUBETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, CC, MS
Contact information
Practice address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 388-4300
Mailing address
6629 VAN WINKLE DR, FALLS CHURCH, VA 22044-1011
(703) 447-8345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGPC00032
DC
101YM0800X
Mental Health Counselor
PRC14891
DC
Other
Enumeration date
05/04/2015
Last updated
01/30/2017
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