Individual
SERA HAVRILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
828 DULANEY VALLEY RD STE 12, TOWSON, MD 21204-2822
(410) 657-2324
Mailing address
625 S BRADFORD ST, BALTIMORE, MD 21224-3607
(443) 610-2642
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP7776
MD
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/30/2018
Last updated
06/30/2018
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