MEDICARE: DANIELLE ELLEN BARTON

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	101Y00000X	Counselor	LC8133	MD

General Provider Information

NPI Number	:	1447769054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE ELLEN BARTON

Provider Business Mailing Address
First Line	:	1627 ARDSLEY PL
Second Line	:
City	:	CROFTON
State	:	MD
Zip	:	21114-2016
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1627 ARDSLEY PLACE
Second Line	:
City	:	CROFTON
State	:	MD
Zip	:	21114
Country	:	US
Telephone Number	:	301-395-6283
Fax Number	:

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

Provider Enumeration Date	:	09/26/2017
Last Update Date	:	09/26/2017

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