Organization · Type 2 NPI

Dimensions

Mental Health Counselor · Chevy Chase, MD

NPI number 1104975903 Active

Practice location

5480 Wisconsin Ave, 215B
Chevy Chase, MD 20815-3530

Mailing address

2 Irving Ct
Stafford, VA 22556-6567

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XID#20569XXX-117275 (DC)
Case Management Agency 251B00000XID#20569-XXX117275 (DC)

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About NPI 1104975903

Dimensions's National Provider Identifier is 1104975903, issued on Jan 9, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chevy Chase, MD. The record was last updated on Sep 11, 2025.