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NPI Code Detail

MEDICARE: MS. JACQUELINE L BITANGA MA, LPC

MEDICARE: MS. JACQUELINE L BITANGA MA, 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 Counselor0701008314VA
2101YM0800XMental Health Counselor0701008314VA

General Provider Information

NPI Number : 1831595842
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JACQUELINE L BITANGA MA, LPC
Provider Business Mailing Address
First Line : 20400 OBSERVATION DR STE 103
Second Line :
City : GERMANTOWN
State : MD
Zip : 20876-4086
Country : US
Telephone Number : 240-686-1971
Fax Number :
Provider Business Practice Location Address
First Line : 20400 OBSERVATION DR STE 103
Second Line :
City : GERMANTOWN
State : MD
Zip : 20876-4086
Country : US
Telephone Number : 240-686-1971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2014
Last Update Date : 12/06/2023

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