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NPI Code Detail

MEDICARE: MRS. NICOLE MCANALLY-TURNER LCPC

MEDICARE:  MRS. NICOLE  MCANALLY-TURNER  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
1101YP2500XProfessional CounselorLC8908MD

General Provider Information

NPI Number : 1447760079
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NICOLE MCANALLY-TURNER LCPC
Provider Business Mailing Address
First Line : 12410 MILESTONE CENTER DR STE 600
Second Line :
City : GERMANTOWN
State : MD
Zip : 20876-7102
Country : US
Telephone Number : 240-200-0708
Fax Number :
Provider Business Practice Location Address
First Line : 12410 MILESTONE CENTER DR STE 600
Second Line :
City : GERMANTOWN
State : MD
Zip : 20876-7102
Country : US
Telephone Number : 240-200-0708
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2017
Last Update Date : 09/18/2024

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