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NPI Code Detail

MEDICARE: SANDRA NUNEZ MS, LCPC

MEDICARE: SANDRA NUNEZ MS, 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
1101YP2500XProfessional CounselorLC2703MD

General Provider Information

NPI Number : 1619131760
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA NUNEZ MS, LCPC
Provider Business Mailing Address
First Line : 9711 WASHINGTONIAN BLVD STE 550
Second Line :
City : GAITHERSBURG
State : MD
Zip : 20878-5789
Country : US
Telephone Number : 301-633-1540
Fax Number :
Provider Business Practice Location Address
First Line : 9711 WASHINGTONIAN BLVD STE 550
Second Line :
City : GAITHERSBURG
State : MD
Zip : 20878-5789
Country : US
Telephone Number : 301-633-1540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2008
Last Update Date : 04/27/2023

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