Individual
MARTHA M SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
79 N MEDICAL PARK DR, FISHERSVILLE, VA 22939-2344
(540) 213-2525
(540) 213-2502
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 213-2525
(540) 213-2555
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001262
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187300
ANTHEM BEHAVIORAL
VA
01
—
2025647
CIGNA BEHAVIORAL
VA
Enumeration date
02/14/2006
Last updated
04/03/2024
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