Amanda Allison-Pacheco, LCPC
Counselor, Professional in Millersville, MD. Individual provider (NPI-1).
NPI number1780109660
StatusActive
Last updated in NPPESNov 20, 2018
Details
- NPI
- 1780109660
- Entity type
- Individual (NPI-1)
- Name
- Amanda Allison-Pacheco
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2017
- Last updated
- Nov 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LC9118 | MD | Yes |
| 101YM0800X | Counselor, Mental Health | LGP7429 | MD |
Practice location
8638 Veterans Hwy Ste 301Millersville, MD 21108-1422
Phone 443-445-0053
Mailing address
10630 Little Patuxent Pkwy Ste 209Columbia, MD 21044-6278
Phone 443-445-0053
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