Individual
SHARITA SIVELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5800 BETSY CIR, WALDORF, MD 20601-3301
(301) 609-9887
Mailing address
5800 BETSY CIR, WALDORF, MD 20601-3301
(410) 934-0581
(410) 834-1217
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC8368
MD
101YM0800X
Mental Health Counselor
Primary
LGP6716
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589561800
—
MD
Enumeration date
11/20/2015
Last updated
02/09/2023
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