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NPI Code Detail

MEDICARE: MRS. SAMAR H KHLEIF LCPC

MEDICARE: MRS. SAMAR H KHLEIF 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
1101YM0800XMental Health CounselorLC2123MD

General Provider Information

NPI Number : 1245462167
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SAMAR H KHLEIF LCPC
Provider Business Mailing Address
First Line : 3511 PINEY WOODS PL APT C302
Second Line :
City : LAUREL
State : MD
Zip : 20724-5979
Country : US
Telephone Number : 301-362-7462
Fax Number :
Provider Business Practice Location Address
First Line : 5301 76TH AVE
Second Line :
City : LANDOVER HILLS
State : MD
Zip : 20784-1703
Country : US
Telephone Number : 301-459-2121
Fax Number : 301-459-0675
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2009
Last Update Date : 08/11/2009

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Directions to “ MRS. SAMAR H KHLEIF LCPC” Practice Location

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