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NPI Code Detail

MEDICARE: MRS. BRETT CAMPBELL ALCARESE WELCH LPC

MEDICARE: MRS. BRETT CAMPBELL ALCARESE WELCH LPC
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
1101YP2500XProfessional Counselor0701012454VA

General Provider Information

NPI Number : 1417646035
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRETT CAMPBELL ALCARESE WELCH LPC
Provider Business Mailing Address
First Line : 6200 LAKESIDE AVE
Second Line :
City : HENRICO
State : VA
Zip : 23228-5248
Country : US
Telephone Number : 804-307-2801
Fax Number :
Provider Business Practice Location Address
First Line : 6200 LAKESIDE AVE
Second Line :
City : HENRICO
State : VA
Zip : 23228-5248
Country : US
Telephone Number : 804-307-2801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2023
Last Update Date : 05/01/2023

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