MEDICARE: JAN ABER

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
1	101Y00000X	Counselor	PRC14240	DC

General Provider Information

NPI Number	:	1962121608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAN ABER

Provider Business Mailing Address
First Line	:	4709 BERKELEY TER NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20007-1508
Country	:	US
Telephone Number	:	301-943-6516
Fax Number	:

Provider Business Practice Location Address
First Line	:	4709 BERKELEY TER NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20007-1508
Country	:	US
Telephone Number	:	301-943-6516
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2022
Last Update Date	:	08/25/2022

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