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NPI Code Detail

MEDICARE: AMIRA KROLOW LGPC, NCC

MEDICARE: AMIRA KROLOW LGPC, NCC
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 Counselor

General Provider Information

NPI Number : 1972365633
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMIRA KROLOW LGPC, NCC
Provider Business Mailing Address
First Line : 1436 U ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-3997
Country : US
Telephone Number : 443-718-0973
Fax Number :
Provider Business Practice Location Address
First Line : 1436 U ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-3997
Country : US
Telephone Number : 443-718-0973
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2024
Last Update Date : 04/28/2025

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