CARL NATHANIEL BOONE


Address: 4414 3rd St Se # Eb, Washington, DC 20032-3229
Phone: 2403702454

CARL NATHANIEL BOONE (NPI# 1205444601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205444601
Entity Type Individual
Full Name CARL NATHANIEL BOONE
Practice Address 4414 3rd St Se # Eb
Washington
DC 20032-3229
Mailing Address 2031 Brooks Dr Apt 713
District Heights
MD 20747-1009
Practice Telephone 2403702454
Mailing Telephone 2403702454
Mailing Fax Number 2028323454
Enumeration Date 2020-07-21
Last Update Date 2020-07-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
1177 DC Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2031 Brooks Dr Apt 713, District Heights, MD 207471009 2403702454

Office Location

Street Address 4414 3RD ST SE # EB
City WASHINGTON
State DC
Zip Code 20032-3229

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922615913 Anita Gail Graves-jackson Counselor 2041 Martin Luther King Jr Ave Se Fl 3, Washington, DC 20020-7024 2020-09-24
1811503477 Darryl Lamont Anderson Counselor 124 15th St Se, Washington, DC 20003-1519 2020-09-18
1215543061 The Dorm LLC Counselor 1818 N St Nw, Washington, DC 20036-2406 2020-09-17
1154943363 Brian Wesley Matthews Counselor 1400 Florida Ave Ne Apt 911, Washington, DC 20002-5028 2020-05-11
1225659519 Michael Thomas Moore Counselor 920 Belview St. Se, Washington, DC 20032 2020-04-28
1609403849 Shajava Shevougne Miller Counselor 425 2nd St Nw Ste 2north, Washington, DC 20001-2003 2020-03-26
1194351304 Lola Johnson Counselor 920 Bellevue St Se # Wdc, Washington, DC 20032-6030 2020-03-19
1437783396 Empowerment Justice Center Counselor 4900 10th St Ne, Washington, DC 20017-3928 2020-02-28
1588215982 Sara Osborne Counselor 164 Wykeham Road, Washington, CT 06793 2019-09-26
1093271975 Clare H Harris Counselor 113 Armory Pointe, Washington, NC 27889-5085 2019-02-15
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Competitor

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City WASHINGTON
Zip Code 20032

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Dataset Information

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.

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