MS. CORRONA SELENA BOSTON (NPI# 1194237958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194237958 |
| Entity Type | Individual |
| Full Name | MS. CORRONA SELENA BOSTON |
| Credential | LPC AND ATR |
| Practice Address |
3001 Bladensburg Rd Ne Ste 100 Washington DC 20018-2235 |
| Mailing Address |
17309 Newton Ct Upper Marlboro MD 20772-3308 |
| Practice Telephone | 2026353577 |
| Practice Fax Number | 2026350906 |
| Mailing Telephone | 2409381092 |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
PRC14506 | DC | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17309 Newton Ct, Upper Marlboro, MD 207723308 | 2409381092 |
| Street Address |
3001 BLADENSBURG RD NE STE 100 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20018-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438712 | Veronica Anita Rose | Technician | 3005 Bladensburg Rd Ne Apt 306, Washington, DC 20018 | 2020-08-17 |
| 1851910293 | Justina Christina Okougbo | Nurse Practitioner | 1242 12th St Ne Washington D.c., Washington, DC 20018 | 2020-04-15 |
| 1821629304 | Claire Cinque | Physical Therapy Assistant | 2601 18th Street Nw, Washington, DC 20018 | 2020-02-03 |
| 1669025474 | Chase Associates, LLC | Community/Behavioral Health | 2300 Washington Pl. Ne, Suite 423, Washington, DC 20018 | 2019-07-20 |
| 1407328446 | Howard Mabry | Psychologist | 2218 Rhode Island Avenue, Washington, DC 20018 | 2018-12-31 |
| 1760968697 | Velma Enjie Tebo | Home Health Aide | 1511 Franklin St Ne Apt 510, Washington, DC 20018 | 2018-07-13 |
| 1346744141 | Jacques Vanel Siewe Mbouwe | Home Health Aide | 3508 Commodore Joshua Barney Drive N.e, Apt #t3, Washington, DC 20018 | 2018-03-19 |
| 1376050658 | Marlena Hunt | Technician | 2504 10th St. Ne, Apt 404, Washington, DC 20018 | 2018-01-08 |
| 1245745926 | Mirabel Timben Mbah | Home Health Aide | 2010 Rhode Island Ave, 2nd Floor, North East, DC 20018 | 2017-12-04 |
| 1356855332 | St Judes Dental Clinic | Dentist | 2802 Rhode Island Ave Ne # 1, Washington, DC 20018 | 2017-11-28 |
| Find all providers in zip 20018 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225294 | Dominique Rashard Williams | Counselor | 4000 Kansas Ave Nw Apt 206, Washington, DC 20011-5743 | 2020-11-04 |
| 1932709326 | Amy Mall | Counselor | 353 O St Sw, Washington, DC 20024-2901 | 2020-10-27 |
| 1518565787 | Kathryn Paige Zorniger | Counselor | 712 H St Ne Ste 1056, Washington, DC 20002-3627 | 2020-10-11 |
| 1477150001 | Marlyse D Kouano | Counselor | 850 21st St Ne Apt 3, Washington, DC 20002-4131 | 2020-10-06 |
| 1609473750 | Asia Vianna Mack Leak | Counselor | 529 14th St Nw, Washington, DC 20045-1000 | 2020-10-01 |
| 1427665777 | C'aira Neal | Counselor | 4020 Minnesota Ave Ne Apt 636, Washington, DC 20019-3568 | 2020-09-29 |
| 1992312706 | Carolyn Elaine Gonterman | Counselor | 2223 40th St Nw Apt 2, Washington, DC 20007-1736 | 2020-09-25 |
| 1194338095 | Tanyi Mubang | Counselor | 6101 16th St Nw Apt 518, Washington, DC 20011-1761 | 2020-08-28 |
| 1932711488 | Claudia Mai Nguyen | Counselor | 20 F St Nw Ofc 757, Washington, DC 20001-6700 | 2020-08-17 |
| 1114538352 | Sarita Johnson | Counselor | 650 I St Se, Washington, DC 20003-2725 | 2020-08-12 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20018 |
Please comment or provide details below to improve the information on MS. CORRONA SELENA BOSTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.