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NPI Code Detail

MEDICARE: MR. ANDY MORALES MS, LCPC

MEDICARE: MR. ANDY MORALES MS, 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 Counselor11944MD
2101YM0800XMental Health Counselor11944MD

General Provider Information

NPI Number : 1629730858
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANDY MORALES MS, LCPC
Provider Business Mailing Address
First Line : 902 ALLAN RD
Second Line :
City : ROCKVILLE
State : MD
Zip : 20850-1422
Country : US
Telephone Number : 202-369-3524
Fax Number :
Provider Business Practice Location Address
First Line : 8120 WOODMONT AVE STE 840
Second Line :
City : BETHESDA
State : MD
Zip : 20814-2789
Country : US
Telephone Number : 240-618-2889
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2021
Last Update Date : 08/05/2024

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