Provider Demographics
NPI:1538478656
Name:NDAMBUKI, JOHN MBUVI (LPC, LCPC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MBUVI
Last Name:NDAMBUKI
Suffix:
Gender:M
Credentials:LPC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6916 LAMONT DR
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4607
Mailing Address - Country:US
Mailing Address - Phone:301-538-8463
Mailing Address - Fax:202-546-9546
Practice Address - Street 1:701 L STREET, SE.
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003
Practice Address - Country:US
Practice Address - Phone:202-547-3780
Practice Address - Fax:202-546-9546
Is Sole Proprietor?:No
Enumeration Date:2010-10-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14114101YP2500X
MDLC3069101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional