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NPI Code Detail

MEDICARE: MS. ELVA W. ANDERSON LPC

MEDICARE: MS. ELVA W. ANDERSON 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 CounselorPRC14045DC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1861786444
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELVA W. ANDERSON LPC
Provider Business Mailing Address
First Line : 738 QUEBEC PL NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20010-1611
Country : US
Telephone Number : 202-725-5932
Fax Number :
Provider Business Practice Location Address
First Line : 2501 GOOD HOPE RD SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-3011
Country : US
Telephone Number : 202-476-6944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2011
Last Update Date : 06/01/2011

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