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NPI Code Detail

MEDICARE: ERICA JOY NATWICK JANCAJ MS, NCC, LGPC

MEDICARE: ERICA JOY NATWICK JANCAJ MS, NCC, LGPC
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 CounselorLGPC00567DC

General Provider Information

NPI Number : 1114563277
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA JOY NATWICK JANCAJ MS, NCC, LGPC
Provider Business Mailing Address
First Line : 6006 LINCOLNIA RD
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22312-2766
Country : US
Telephone Number : 760-791-3100
Fax Number :
Provider Business Practice Location Address
First Line : 3815 FORT DR NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20016-1870
Country : US
Telephone Number : 760-791-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2019
Last Update Date : 11/25/2019

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