MEDICARE: MEGAN VEON LGPC, ATR-BC

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	101YM0800X	Mental Health Counselor	LGP6922	MD

General Provider Information

NPI Number	:	1255793006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN VEON LGPC, ATR-BC

Provider Business Mailing Address
First Line	:	3262 NORMANDY WOODS DR APT E
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-4295
Country	:	US
Telephone Number	:	607-426-4810
Fax Number	:

Provider Business Practice Location Address
First Line	:	8850 COLUMBIA 100 PKWY STE 203
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2376
Country	:	US
Telephone Number	:	443-546-4476
Fax Number	:	443-546-4473

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2016
Last Update Date	:	03/22/2016

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