MEDICARE: MRS. TEMI UNONU LGPC

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	101YM0800X	Mental Health Counselor	LGP10909	MD
2	101Y00000X	Counselor	LGP10909	MD

General Provider Information

NPI Number	:	1760149983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TEMI UNONU LGPC

Provider Business Mailing Address
First Line	:	2425 BLUERIDGE AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-4553
Country	:	US
Telephone Number	:	301-395-9157
Fax Number	:

Provider Business Practice Location Address
First Line	:	8181 PROFESSIONAL PL
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20785-2226
Country	:	US
Telephone Number	:	202-400-7524
Fax Number	:

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

Provider Enumeration Date	:	11/22/2021
Last Update Date	:	11/22/2021

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