Organization
IMAGO CENTER WASHINGTON DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE TWAALFHOVEN LGPC (CLINICAL MENTAL HEALTH COUNSELOR)
(434) 466-4004
Entity
Organization
Contact information
Practice address
10914 GEORGIA AVE, APT 117, SILVER SPRING, MD 20902
(434) 466-4004
Mailing address
1920 G ST NW, WASHINGTON, DC 20006-4303
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LGP5845
MD
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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