MEDICARE: MRS. DONNA REID WASHINGTON LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PRC1310	DC

General Provider Information

NPI Number	:	1336254721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DONNA REID WASHINGTON LPC

Provider Business Mailing Address
First Line	:	1425 K ST NW
Second Line	:	SUITE 350
City	:	WASHINGTON
State	:	DC
Zip	:	20005-3500
Country	:	US
Telephone Number	:	202-521-9850
Fax Number	:	202-521-9850

Provider Business Practice Location Address
First Line	:	1425 K ST NW
Second Line	:	SUITE 350
City	:	WASHINGTON
State	:	DC
Zip	:	20005-3500
Country	:	US
Telephone Number	:	202-521-9850
Fax Number	:	202-521-9850

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	07/02/2009

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