# SIERRA WALDEN INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295172807
- **Authorized official:** CHARLES WOOD (C.F.O.)
- **Authorized official phone:** (301) 997-1300

## Contact information

- **Practice address:** 305 PRINCE FREDERICK BLVD, PRINCE FREDERICK, MD 20678-3139
- **Practice address phone:** (301) 997-1300
- **Practice address fax:** (301) 863-4744
- **Mailing address:** 30007 BUSINESS CENTER DR, CHARLOTTE HALL, MD 20622-3101
- **Mailing address phone:** (301) 997-1300
- **Mailing address fax:** (301) 863-4744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2013
- **Last updated:** 05/23/2013