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NPI Code Detail

MEDICARE: LAUREL OSMER OSMER

MEDICARE: LAUREL OSMER OSMER
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
1101YM0800XMental Health Counselor0904005638VA

General Provider Information

NPI Number : 1932848348
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREL OSMER OSMER
Provider Business Mailing Address
First Line : 2110 WASHINGTON BLVD
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-5719
Country : US
Telephone Number : 802-404-2508
Fax Number :
Provider Business Practice Location Address
First Line : 2110 WASHINGTON BLVD
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-5719
Country : US
Telephone Number : 802-404-2508
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2022
Last Update Date : 12/02/2025

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Directions to “ LAUREL OSMER OSMER ” Practice Location

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