Amir Abdullah, LCPC
Individual provider Active NPI Professional Counselor · Rockville, MD
NPI 1659533503 · NPPES record last updated Jul 1, 2008
Key facts
- NPI
- 1659533503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LC2687 (MD)
- Practice address
- 14703 Avery Rd
Rockville, MD 20853-3605 - Phone
- (301) 762-5613
- NPI assigned
- Jul 1, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC0750 | MD | MD | Addiction (Substance Use Disorder) Counselor |
| LC2687 | MD | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AC0750 | MD | |
| Mental Health Counselor | 101YM0800X | LC2687 | MD | |
| Professional Counselor | 101YP2500X | LC2687 | MD | Yes |
Addresses
Primary practice location
14703 Avery Rd
Rockville, MD 20853-3605
Mailing address
14703 Avery Rd
Rockville, MD 20853-3605
Phone (301) 762-5613
Other providers in Rockville, MD
- Victor Peter Abdow Jr.
- Amina Abdul
- Binyaminu Abdul
- Amaya Abdulhamid
- Akbar Abdulkarim
- Khameelah Abdullah
- Yakub Abdullahi
- Aliyah Abdulmalek
- Mai'Sara Abdur-Rahman
- Ania Abdur-Rasheed
All providers in Rockville, MD · Professional Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.