MEDICARE: MS. APRIL KRIZ 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	101YP2500X	Professional Counselor	LC4507	MD

General Provider Information

NPI Number	:	1790080885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. APRIL KRIZ LCPC

Provider Business Mailing Address
First Line	:	28105 THREE NOTCH RD
Second Line	:
City	:	MECHANICSVILLE
State	:	MD
Zip	:	20659-3235
Country	:	US
Telephone Number	:	301-538-3544
Fax Number	:

Provider Business Practice Location Address
First Line	:	28105 THREE NOTCH RD
Second Line	:
City	:	MECHANICSVILLE
State	:	MD
Zip	:	20659-3235
Country	:	US
Telephone Number	:	301-538-3544
Fax Number	:

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

Provider Enumeration Date	:	01/20/2011
Last Update Date	:	07/23/2012

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