MEDICARE: DENA ALALFEY 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
1	101YM0800X	Mental Health Counselor	LGP7879	MD
2	101Y00000X	Counselor	LGP7879	MD

General Provider Information

NPI Number	:	1578091906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENA ALALFEY LGPC

Provider Business Mailing Address
First Line	:	20209 YANKEE HARBOR PL
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20886-5836
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20209 YANKEE HARBOR PL
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20886-5836
Country	:	US
Telephone Number	:	240-994-2274
Fax Number	:

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

Provider Enumeration Date	:	05/30/2017
Last Update Date	:	05/30/2017

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Directions to “ DENA ALALFEY LGPC” Practice Location

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