MEDICARE: ALICIA DUNWELL 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	LC15036	MD

General Provider Information

NPI Number	:	1336753029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA DUNWELL LCPC

Provider Business Mailing Address
First Line	:	10400 GLENMORE DR
Second Line	:
City	:	ADELPHI
State	:	MD
Zip	:	20783-1203
Country	:	US
Telephone Number	:	301-655-1477
Fax Number	:

Provider Business Practice Location Address
First Line	:	8200 PROFESSIONAL PL STE 107
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20785-2293
Country	:	US
Telephone Number	:	202-706-7603
Fax Number	:

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

Provider Enumeration Date	:	09/01/2020
Last Update Date	:	03/03/2026

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Directions to “ ALICIA DUNWELL LCPC” Practice Location

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