JOLENE K MUBANG


Address: 7826 Eastern Ave Nw # 412b, Washington, DC 20012-1324
Phone: 3013460203

JOLENE K MUBANG (NPI# 1750844296) 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) 1750844296
Entity Type Individual
Full Name JOLENE K MUBANG
Practice Address 7826 Eastern Ave Nw # 412b
Washington
DC 20012-1324
Practice Telephone 3013460203
Practice Fax Number 2027222212
Mailing Telephone 3013460203
Mailing Fax Number 2027222212
Enumeration Date 2019-04-11
Last Update Date 2019-04-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 7826 EASTERN AVE NW # 412B
City WASHINGTON
State DC
Zip Code 20012-1324

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Taxonomy Information

Taxonomy Code 103TA0400X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669832135 Metropolitan Educational Solutions, LLC Psychologist 2011 Bunker Hill Rd., Ne., Suite B., Washington, DC 20018 2016-02-26
1982933800 Phoebe L May Psychologist 2200 Pennsylvania Avnue, Nw, Washington, DC 20006 2009-12-24
1538369830 Nnemdi Surya Kamanu Elias Psychologist 2020 Pennsylvania Ave Nw # 131, Washington, DC 20006-1811 2007-07-24
1528437134 Roblyn Phillita Lewter Psychologist 5210 3rd St Ne, #403, Washington, DC 20011-6331 2015-09-24
1083899231 Robert Glen Rosenblatt Psychologist 1010 Wisconsin Ave Nw, Suite 505, Washington, DC 20007-3603 2008-01-07

Competitor

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City WASHINGTON
Zip Code 20012

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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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