MEDICARE: JANET K ILONOH 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
1	101YM0800X	Mental Health Counselor	LC15180	MD

General Provider Information

NPI Number	:	1427895549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET K ILONOH LCPC

Provider Business Mailing Address
First Line	:	7701 HIGHPOINT RD
Second Line	:
City	:	CLEARWATER BEACH
State	:	MD
Zip	:	21226-2017
Country	:	US
Telephone Number	:	443-410-8773
Fax Number	:

Provider Business Practice Location Address
First Line	:	7701 HIGHPOINT RD
Second Line	:
City	:	CLEARWATER BEACH
State	:	MD
Zip	:	21226-2017
Country	:	US
Telephone Number	:	443-410-8773
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2024
Last Update Date	:	07/15/2024

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