Individual provider · NPI-1

Pedro R Alicea, M.Ed., LGPC, NCC

Counselor, Professional · Annapolis, MD

NPI number1912894031
StatusActive
Last updated in NPPESJun 20, 2025

Details

NPI
1912894031
Entity type
Individual (NPI-1)
Name
Pedro R Alicea
Credential
M.Ed., LGPC, NCC
Sex
Male
Sole proprietor
No
Enumeration date
Jun 20, 2025
Certification date
Jun 20, 2025
Last updated
Jun 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, ProfessionalLGP16486MDYes
101YM0800X Counselor, Mental HealthLGP16486MD

Practice location

2009 Tidewater Colony Dr Ste 2a
Annapolis, MD 21401-2111

Phone 410-441-3489

Mailing address

2009 Tidewater Colony Dr Ste 2a
Annapolis, MD 21401-2111

Phone 202-642-1672

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