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Individual

MRS. SHAUNA MICHELLE RYKIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-C, LCADC

Contact information

Practice address
570 RITCHIE HWY # H, SEVERNA PARK, MD 21146-2925
(410) 975-0067
(410) 975-0204
Mailing address
PO BOX 1012, SEVERNA PARK, MD 21146-8012
(410) 975-0067
(410) 975-0204

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA424
MD
1041C0700X
Clinical Social Worker
12380
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11340840
CAQH PROVIDER NUMBER
MD
Enumeration date
05/21/2007
Last updated
09/11/2025
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