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NPI Code Detail

MEDICARE: ALEISCIA SARGEANT

MEDICARE: ALEISCIA SARGEANT
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
1101YM0800XMental Health CounselorLG8530MD
2101YM0800XMental Health CounselorLC11174MD

General Provider Information

NPI Number : 1104300813
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEISCIA SARGEANT
Provider Business Mailing Address
First Line : 9701 APOLLO DR STE 100
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-4785
Country : US
Telephone Number : 202-306-4398
Fax Number :
Provider Business Practice Location Address
First Line : 9701 APOLLO DR STE 100
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-4785
Country : US
Telephone Number : 202-306-4398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2018
Last Update Date : 04/09/2021

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Directions to “ ALEISCIA SARGEANT ” Practice Location

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