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NPI Code Detail

MEDICARE: ALICIA CHEN

MEDICARE: ALICIA CHEN
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
1101YM0800XMental Health CounselorA22996NC

General Provider Information

NPI Number : 1407787278
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICIA CHEN
Provider Business Mailing Address
First Line : 1420 SANDUSKY LN
Second Line :
City : RALEIGH
State : NC
Zip : 27614-7513
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 34 OLEANDER DR STE 104
Second Line :
City : CLAYTON
State : NC
Zip : 27527-4599
Country : US
Telephone Number : 919-283-3302
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2026
Last Update Date : 05/28/2026

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Directions to “ ALICIA CHEN ” Practice Location

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