MEDICARE: SLOANE GUBER LGPC

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	LG13009	MD

General Provider Information

NPI Number	:	1922789981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SLOANE GUBER LGPC

Provider Business Mailing Address
First Line	:	1110 4TH ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-3410
Country	:	US
Telephone Number	:	240-350-1664
Fax Number	:

Provider Business Practice Location Address
First Line	:	4405 E WEST HWY STE 602
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-4537
Country	:	US
Telephone Number	:	240-350-1664
Fax Number	:

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

Provider Enumeration Date	:	07/31/2023
Last Update Date	:	07/31/2023

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Directions to “ SLOANE GUBER LGPC” Practice Location

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