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NPI Code Detail

MEDICARE: MS. ELIZABETH VENENGA

MEDICARE: MS. ELIZABETH VENENGA
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 CounselorLC10306MD

General Provider Information

NPI Number : 1568083939
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH VENENGA
Provider Business Mailing Address
First Line : 2700 WASHINGTON AVE
Second Line :
City : HALETHORPE
State : MD
Zip : 21227-3115
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2700 WASHINGTON AVE
Second Line :
City : HALETHORPE
State : MD
Zip : 21227-3115
Country : US
Telephone Number : 667-600-2272
Fax Number : 667-600-4065
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2020
Last Update Date : 06/09/2021

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Directions to “ MS. ELIZABETH VENENGA ” Practice Location

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