Individual
DANIELLE STIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5172 VIADUCT AVE, BALTIMORE, MD 21227-4237
(410) 207-7741
Mailing address
5172 VIADUCT AVE, BALTIMORE, MD 21227-4237
(410) 207-7741
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC4703
MD
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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