Individual
MRS. SHERILL ANGELEE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
3289 EAGLE RIDGE DR, WOODBRIDGE, VA 22191-6520
(703) 593-3757
Mailing address
3289 EAGLE RIDGE DR, WOODBRIDGE, VA 22191-6520
(703) 593-3757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
104100000X
Social Worker
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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