MARLYSE D KOUANO


Address: 850 21st St Ne Apt 3, Washington, DC 20002-4131
Phone: 1240478442

MARLYSE D KOUANO (NPI# 1477150001) 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) 1477150001
Entity Type Individual
Full Name MARLYSE D KOUANO
Practice Address 850 21st St Ne Apt 3
Washington
DC 20002-4131
Practice Telephone 1240478442
Mailing Telephone 1240478442
Enumeration Date 2020-10-06
Last Update Date 2020-10-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
DC Behavioral Health & Social Service Providers
N 376K00000X Nurse's Aide A00170601 MD Nursing Service Related Providers

Office Location

Street Address 850 21ST ST NE APT 3
City WASHINGTON
State DC
Zip Code 20002-4131

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City WASHINGTON
Zip Code 20002

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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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