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NPI Code Detail

MEDICARE: MS. SHANTE D ASHE LCPC

MEDICARE: MS. SHANTE D ASHE 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
1101Y00000XCounselorLC4285MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295009777
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHANTE D ASHE LCPC
Provider Business Mailing Address
First Line : PO BOX 501
Second Line :
City : MARBURY
State : MD
Zip : 20658-0501
Country : US
Telephone Number : 301-861-3454
Fax Number :
Provider Business Practice Location Address
First Line : 3261 OLD WASHINGTON RD STE 2020
Second Line :
City : WALDORF
State : MD
Zip : 20602-3231
Country : US
Telephone Number : 301-861-3454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2012
Last Update Date : 07/21/2022

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