Provider Demographics
NPI:1467606038
Name:CLEMSON-HINES, MARGARET (MARI) GRAHAM (LMFT DC000159 CA5148)
Entity Type:Individual
Prefix:MS
First Name:MARGARET (MARI)
Middle Name:GRAHAM
Last Name:CLEMSON-HINES
Suffix:
Gender:F
Credentials:LMFT DC000159 CA5148
Other - Prefix:MS
Other - First Name:MARGARET (MARI)
Other - Middle Name:GRAHAM
Other - Last Name:CLEMSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:1801 CONNECTICUT AVE
Mailing Address - Street 2:SUITE #300
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009
Mailing Address - Country:US
Mailing Address - Phone:202-440-3302
Mailing Address - Fax:
Practice Address - Street 1:1801 CONNECTICUT AVE
Practice Address - Street 2:SUITE #300
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009
Practice Address - Country:US
Practice Address - Phone:202-440-3302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLMFT0000159106H00000X
CAMFC51483106H00000X
VA0717001422106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist