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General NPI Number Information
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NPI Number | 1629730858
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Entity Type | Individual
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Provider Name | ANDY MORALES MS, LCPC
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Gender | Male
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 8120 WOODMONT AVE STE 840
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City | BETHESDA
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State | MD
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Zip | 20814-2789
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Country | US
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Telephone | 240-618-2889
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Fax |
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Provider Business Mailing Address
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Address Line | 902 ALLAN RD
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City | ROCKVILLE
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State | MD
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Zip | 20850-1422
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Country | US
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Telephone | 202-369-3524
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 11944
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11944
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License Number State | MD
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