Individual
JACQUELYN LARUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
2639 CONNECTICUT AVE NW, SUITE 251, WASHINGTON, DC 20008-1537
(877) 674-2843
Mailing address
2639 CONNECTICUT AVE NW, SUITE 251, WASHINGTON, DC 20008-1537
(877) 674-2843
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC000300
DC
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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