MEDICARE: MARIE ANNETTE UMBARGER 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	101YM0800X	Mental Health Counselor	LH00005985	WA
2	101YP2500X	Professional Counselor	LC2884	MD
3	101YP2500X	Professional Counselor	PC004850	PA

General Provider Information

NPI Number	:	1285763664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE ANNETTE UMBARGER LCPC

Provider Business Mailing Address
First Line	:	1180 PROFESSIONAL CT
Second Line	:
City	:	HAGERSTOWN
State	:	MD
Zip	:	21740-5852
Country	:	US
Telephone Number	:	301-791-3045
Fax Number	:	240-313-3071

Provider Business Practice Location Address
First Line	:	14689 GARRETT HWY
Second Line	:
City	:	OAKLAND
State	:	MD
Zip	:	21550-4059
Country	:	US
Telephone Number	:	301-334-9002
Fax Number	:

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

Provider Enumeration Date	:	03/03/2007
Last Update Date	:	09/11/2008

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