Individual
SIVAN PERDUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPAT
Contact information
Practice address
11672 SOMERSET AVE, PRINCESS ANNE, MD 21853-1136
(410) 621-5858
(410) 621-5858
Mailing address
11672 SOMERSET AVE, PRINCESS ANNE, MD 21853-1136
(410) 621-5858
(410) 621-5858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ATC074
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147007800
—
MD
Enumeration date
08/20/2014
Last updated
07/21/2022
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