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NPI Code Detail

MEDICARE: KEVIN GRAYSON LINEBERGER LPC

MEDICARE: KEVIN GRAYSON LINEBERGER LPC
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 CounselorPRC658DC

General Provider Information

NPI Number : 1871440586
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN GRAYSON LINEBERGER LPC
Provider Business Mailing Address
First Line : 5413 BRENNER ST
Second Line :
City : CAPITOL HEIGHTS
State : MD
Zip : 20743-6211
Country : US
Telephone Number : 202-345-4831
Fax Number :
Provider Business Practice Location Address
First Line : 5413 BRENNER ST
Second Line :
City : CAPITOL HEIGHTS
State : MD
Zip : 20743-6211
Country : US
Telephone Number : 202-345-4831
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 06/11/2026

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