Individual
DANIELLE NADINE SHEALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14701 NATIONAL HWY SW STE 5&6, LAVALE, MD 21502-6573
(301) 687-0940
(301) 687-0948
Mailing address
14701 NATIONAL HWY SW STE 5&6, LAVALE, MD 21502-6573
(301) 687-0940
(301) 687-0948
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC2810
MD
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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