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NPI Code Detail

MEDICARE: RASHIDA TWIGGS CLEGG LPC

MEDICARE: RASHIDA TWIGGS CLEGG LPC
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 CounselorPRC14026DC

General Provider Information

NPI Number : 1821347378
Entity Type Code : Individual
Provider Name (Legal Business Name) : RASHIDA TWIGGS CLEGG LPC
Provider Business Mailing Address
First Line : 6003 MUSTANG DRIVE
Second Line :
City : RIVERDALE
State : MD
Zip : 20737
Country : US
Telephone Number : 202-531-9423
Fax Number :
Provider Business Practice Location Address
First Line : 3005 BLADENSBURG RD NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-2265
Country : US
Telephone Number : 202-780-6101
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2012
Last Update Date : 06/02/2017

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