Provider Demographics
NPI:1386745552
Name:WASHINGTON, CARLA D (EDD)
Entity type:Individual
Prefix:DR
First Name:CARLA
Middle Name:D
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1717 K ST NW
Mailing Address - Street 2:SUITE#600
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5346
Mailing Address - Country:US
Mailing Address - Phone:202-204-2215
Mailing Address - Fax:202-508-1056
Practice Address - Street 1:1717 K ST NW
Practice Address - Street 2:SUITE#600
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5346
Practice Address - Country:US
Practice Address - Phone:202-204-2215
Practice Address - Fax:202-508-1056
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLPC23101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health