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NPI Code Detail

MEDICARE: KATHY WU LGPC

MEDICARE: KATHY WU LGPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1043594310
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY WU LGPC
Provider Business Mailing Address
First Line : 202 EVANS ST
Second Line :
City : ROCKVILLE
State : MD
Zip : 20850-2820
Country : US
Telephone Number : 301-750-4140
Fax Number :
Provider Business Practice Location Address
First Line : 17826 NEW HAMPSHIRE AVE
Second Line :
City : ASHTON
State : MD
Zip : 20861-9781
Country : US
Telephone Number : 180-049-1536
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2011
Last Update Date : 07/07/2016

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Directions to “ KATHY WU LGPC” Practice Location

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