MEDICARE: DISTRICT COLLABORATIVE COUNSELING, PLLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1285426098
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISTRICT COLLABORATIVE COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	6604 2ND ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20012-2130
Country	:	US
Telephone Number	:	202-423-4778
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 P ST NW STE 615
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20036-6920
Country	:	US
Telephone Number	:	202-423-4778
Fax Number	:

Authorized Official
Title or Position	:	SOLE PRACTIONER/THERAPIST
Name	:	SARAH MAY GAUDREAU
Credential	:	LPC
Telephone Number	:	202-423-4778

Provider Enumeration Date	:	05/19/2025
Last Update Date	:	05/27/2025

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