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NPI Code Detail

MEDICARE: MRS. ERNESTINE SUGGS LCPC

MEDICARE: MRS. ERNESTINE SUGGS 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 CounselorLC5209MD

General Provider Information

NPI Number : 1689002354
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ERNESTINE SUGGS LCPC
Provider Business Mailing Address
First Line : 2015 MARTINS GRANT CT
Second Line :
City : CROWNSVILLE
State : MD
Zip : 21032-1932
Country : US
Telephone Number : 240-334-7853
Fax Number : 410-721-2025
Provider Business Practice Location Address
First Line : 2015 MARTINS GRANT CT
Second Line :
City : CROWNSVILLE
State : MD
Zip : 21032-1932
Country : US
Telephone Number : 240-334-7853
Fax Number : 410-721-2025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2013
Last Update Date : 01/18/2019

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