MEDICARE: ANGELA ABADIR LLC

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

General Provider Information

NPI Number	:	1023857117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELA ABADIR LLC

Provider Business Mailing Address
First Line	:	4334 FARRAGUT ST APT B
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20781-2043
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4334 FARRAGUT ST APT B
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20781-2043
Country	:	US
Telephone Number	:	301-910-1367
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANGELA ABADIR
Credential	:
Telephone Number	:	301-910-1367

Provider Enumeration Date	:	05/20/2024
Last Update Date	:	05/20/2024

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Directions to “ANGELA ABADIR LLC ” Practice Location

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