Healthcare Provider Details

I. General information

NPI: 1356187702
Provider Name (Legal Business Name): JOAN DAWON LEE GABRIELSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2024
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 PENNSYLVANIA AVE NW # 272
WASHINGTON DC
20006-1811
US

IV. Provider business mailing address

2022 BALTIMORE RD APT L43
ROCKVILLE MD
20851-1228
US

V. Phone/Fax

Practice location:
  • Phone: 202-569-8845
  • Fax:
Mailing address:
  • Phone: 202-569-8845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: