Individual
KOUDZO KOMLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2311 RANDOLPH ST NE, WASHINGTON, DC 20018-3134
(202) 929-9888
Mailing address
1905 E ST SE, WASHINGTON, DC 20003-2593
(202) 673-9319
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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