MEDICARE: DENISE POPEVIS 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	LC4819	MD

General Provider Information

NPI Number	:	1972906394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISE POPEVIS LCPC

Provider Business Mailing Address
First Line	:	31 BOOTH ST.
Second Line	:	UNIT 356
City	:	GAITHERSBURG
State	:	MD
Zip	:	20878
Country	:	US
Telephone Number	:	301-972-1373
Fax Number	:

Provider Business Practice Location Address
First Line	:	13241 EXECUTIVE PARK TER
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20874-2648
Country	:	US
Telephone Number	:	301-972-1373
Fax Number	:

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

Provider Enumeration Date	:	09/30/2014
Last Update Date	:	02/28/2024

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