Alana Amballa, LMSW
Individual provider Active NPI Counselor · Jessup, MD
NPI 1689446262 · NPPES record last updated Oct 26, 2023
Key facts
- NPI
- 1689446262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 30019 (MD)
- Practice address
- 7324 Elbridge CT
Jessup, MD 20794-8705 - Phone
- (443) 453-4823
- NPI assigned
- Oct 26, 2023
- Sex
- Female
- 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 |
|---|---|---|---|
| 30019 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 30019 | MD | Yes |
Addresses
Primary practice location
7324 Elbridge CT
Jessup, MD 20794-8705
Mailing address
7324 Elbridge CT
Jessup, MD 20794-8705
Phone (443) 453-4823
Other providers in Jessup, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2023. 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.