MEDICARE: QALBIA GHAZAL AMIN

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	LGP17838	MD

General Provider Information

NPI Number	:	1891624011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QALBIA GHAZAL AMIN

Provider Business Mailing Address
First Line	:	14117 BIG BRANCH DR
Second Line	:
City	:	DAYTON
State	:	MD
Zip	:	21036-1254
Country	:	US
Telephone Number	:	516-587-0230
Fax Number	:

Provider Business Practice Location Address
First Line	:	14117 BIG BRANCH DR
Second Line	:
City	:	DAYTON
State	:	MD
Zip	:	21036-1254
Country	:	US
Telephone Number	:	516-587-0230
Fax Number	:

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

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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Directions to “ QALBIA GHAZAL AMIN ” Practice Location

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