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NPI Code Detail

MEDICARE: INGRID IVES-PINKNEY NCC, LCPC

MEDICARE: INGRID IVES-PINKNEY NCC, LCPC
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
1101YP2500XProfessional CounselorLC5114MD

General Provider Information

NPI Number : 1205194891
Entity Type Code : Individual
Provider Name (Legal Business Name) : INGRID IVES-PINKNEY NCC, LCPC
Provider Business Mailing Address
First Line : 3261 OLD WASHINGTON RD STE 2020
Second Line :
City : WALDORF
State : MD
Zip : 20602-3231
Country : US
Telephone Number : 240-240-2383
Fax Number :
Provider Business Practice Location Address
First Line : 3261 OLD WASHINGTON RD STE 2020
Second Line :
City : WALDORF
State : MD
Zip : 20602-3231
Country : US
Telephone Number : 240-240-2383
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2012
Last Update Date : 01/17/2024

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