MEDICARE: MARIA PATRICIA MONTES LCPC

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	LC4488	MD

General Provider Information

NPI Number	:	1285068551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA PATRICIA MONTES LCPC

Provider Business Mailing Address
First Line	:	831 MALIBU DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-3649
Country	:	US
Telephone Number	:	301-431-2111
Fax Number	:

Provider Business Practice Location Address
First Line	:	831 MALIBU DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-3649
Country	:	US
Telephone Number	:	301-431-2111
Fax Number	:

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

Provider Enumeration Date	:	08/22/2013
Last Update Date	:	08/22/2013

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