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NPI Code Detail

MEDICARE: ALISHIA SHIFFON ZIMMERMAN LCPC

MEDICARE: ALISHIA SHIFFON ZIMMERMAN LCPC
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 Counselor0701005955VA
2101YP2500XProfessional CounselorLC3205MD

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 : 1891925749
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISHIA SHIFFON ZIMMERMAN LCPC
Provider Business Mailing Address
First Line : 5304 RIGA ST
Second Line :
City : CLINTON
State : MD
Zip : 20735-3637
Country : US
Telephone Number : 301-728-2888
Fax Number :
Provider Business Practice Location Address
First Line : 3261 OLD WASHINGTON RD STE 2020
Second Line :
City : WALDORF
State : MD
Zip : 20602-3231
Country : US
Telephone Number : 240-696-9800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2009
Last Update Date : 05/03/2024

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