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NPI Code Detail

MEDICARE: ADRIAN STANLEY

MEDICARE:   ADRIAN  STANLEY
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
1101YM0800XMental Health CounselorLGP11500MD

General Provider Information

NPI Number : 1700258027
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIAN STANLEY
Provider Business Mailing Address
First Line : 7326 KELLEY LOOP UNIT A
Second Line :
City : FORT MEADE
State : MD
Zip : 20755-2776
Country : US
Telephone Number : 256-694-3812
Fax Number :
Provider Business Practice Location Address
First Line : 7326 KELLEY LOOP UNIT A
Second Line :
City : FORT MEADE
State : MD
Zip : 20755-2776
Country : US
Telephone Number : 256-694-3812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2015
Last Update Date : 06/30/2021

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Directions to “ ADRIAN STANLEY ” Practice Location

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