Cheick Oumar Diakite

Individual provider Active NPI Mental Health Counselor · Washington, DC

NPI 1053972869 · NPPES record last updated Jun 23, 2019

Key facts

NPI
1053972869
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
80 M St SE
Washington, DC 20003-3544
Phone
(240) 645-9583
NPI assigned
Jun 23, 2019
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

80 M St SE
Washington, DC 20003-3544

Mailing address

80 M St SE
Washington, DC 20003-3544
Phone (240) 645-9583

Other identifiers

IdentifierTypeStateIssuer
832427314MedicaidMD

Other providers in Washington, DC

All providers in Washington, DC · Mental Health Counselor in District of Columbia

Sources for this page

Verify at the official NPI Registry.