Asia Vianna Mack Leak
Asia Vianna Mack Leak is a Mental Health Counselor in Washington, District of Columbia. Practices as a sole proprietor. Licensed in District of Columbia and Maryland.
- Licensed in
- DC, MD
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
529 14th St NWWashington, DC 20045-1000
Phone: (202) 986-5941
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LGPC00541 (DC) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X · Licence LGP9539 (MD) |
Record details
| NPI number | 1609473750 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 1, 2020 |
| Last updated in NPPES | October 1, 2020 |
| Certification date | October 1, 2020 |
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