MEDICARE: DR. SIOBHAN NINE LCPC (MD)

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	101YP2500X	Professional Counselor	LPCC22164	CA
2	101YP2500X	Professional Counselor	LC16625	MD
3	101YP2500X	Professional Counselor	68200	TX

General Provider Information

NPI Number	:	1588107577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SIOBHAN NINE LCPC (MD)

Provider Business Mailing Address
First Line	:	9466 GEORGIA AVE # 1169
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1456
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9466 GEORGIA AVE # 1169
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-1456
Country	:	US
Telephone Number	:	443-446-4721
Fax Number	:

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

Provider Enumeration Date	:	11/23/2016
Last Update Date	:	04/08/2026

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