Edward Carmon, CAC-I
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Washington, DC
NPI 1053155366 · NPPES record last updated Jun 21, 2024
Key facts
- NPI
- 1053155366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CACI1039 (DC)
- Practice address
- 425 2ND St NW # 2N
Washington, DC 20001-2003 - Phone
- (202) 783-7343
- Fax
- (202) 347-5476
- NPI assigned
- Jun 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CACI1039 | DC | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CACI1039 | DC | Yes |
Addresses
Primary practice location
425 2ND St NW # 2N
Washington, DC 20001-2003
Mailing address
425 2ND St NW # 2N
Washington, DC 20001-2003
Phone (202) 783-7343
Other providers in Washington, DC
- Jacqueline Nicole Carmichael
- Kara Carmichael
- Nora Carmichael
- Shalonda Monisha Carmichael
- Marcie Chadwick Carmody
- Janice Carmon
- Juan Carmona-Tamayo
- Ramon A. Carmona
- Maria Carnegie Blair
- Ermencia Carnegie
All providers in Washington, DC · Addiction (Substance Use Disorder) Counselor in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.