MEDICARE: MS. ANA MILENA OLACIREGUI 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	101YM0800X	Mental Health Counselor	LC2059	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992984520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANA MILENA OLACIREGUI LCPC

Provider Business Mailing Address
First Line	:	11207A LOCKWOOD DR
Second Line	:	ADMINISTRATION
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4550
Country	:	US
Telephone Number	:	301-518-2705
Fax Number	:	301-622-3050

Provider Business Practice Location Address
First Line	:	11207A LOCKWOOD DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-4550
Country	:	US
Telephone Number	:	301-518-2705
Fax Number	:	301-622-3050

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

Provider Enumeration Date	:	10/31/2007
Last Update Date	:	01/14/2010

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