Individual
DR. ROBERT MITCHELL GAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, (ABD),
Contact information
Practice address
1218 PERRY ST NE, G-1, WASHINGTON, DC 20017-2550
(202) 832-8403
(202) 832-8403
Mailing address
1218 PERRY ST NE, G-1, WASHINGTON, DC 20017-2550
(202) 832-8403
(202) 832-8403
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
013305
DC
101YA0400X
Addiction (Substance Use Disorder) Counselor
203292
DC
101YA0400X
Addiction (Substance Use Disorder) Counselor
M1220-2005
DC
101YA0400X
Addiction (Substance Use Disorder) Counselor
PRC-1218
DC
101YM0800X
Mental Health Counselor
PRC1218
DC
101YP2500X
Professional Counselor
6731
DC
101YP2500X
Professional Counselor
Primary
PRC-1218
DC
103K00000X
Behavior Analyst
6731
DC
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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