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NPI Code Detail

MEDICARE: WALTER GEORGE

MEDICARE: WALTER GEORGE
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 Counselor

General Provider Information

NPI Number : 1184029480
Entity Type Code : Individual
Provider Name (Legal Business Name) : WALTER GEORGE
Provider Business Mailing Address
First Line : 3200 E ST SE APT G1
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-2205
Country : US
Telephone Number : 301-379-4774
Fax Number :
Provider Business Practice Location Address
First Line : 3000 PENNSYLVANIA AVE SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-3718
Country : US
Telephone Number : 202-581-0490
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2014
Last Update Date : 03/22/2023

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