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Individual

PEDRO R ALICEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.ED., LGPC, NCC

Contact information

Practice address
2009 TIDEWATER COLONY DR STE 2A, ANNAPOLIS, MD 21401-2111
(410) 441-3489
Mailing address
2009 TIDEWATER COLONY DR STE 2A, ANNAPOLIS, MD 21401-2111
(202) 642-1672

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP16486
MD
101YP2500X
Professional Counselor
Primary
LGP16486
MD

Other

Enumeration date
06/20/2025
Last updated
06/20/2025
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