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NPI Code Detail

MEDICARE: MRS. KRISTY REBECCA ARTHUR LCPC

MEDICARE:  MRS. KRISTY REBECCA ARTHUR  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
1101Y00000XCounselorLC2798MD

General Provider Information

NPI Number : 1023279809
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTY REBECCA ARTHUR LCPC
Provider Business Mailing Address
First Line : 17333 SANDY KNOLL DR
Second Line :
City : OLNEY
State : MD
Zip : 20832
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2923 OLNEY SANDY SPRINGS RD
Second Line : SUITE E
City : OLNEY
State : MD
Zip : 20832
Country : US
Telephone Number : 443-994-8419
Fax Number : 301-924-9039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2008
Last Update Date : 06/24/2008

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Directions to “ MRS. KRISTY REBECCA ARTHUR LCPC” Practice Location

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