Individual
LISA M SHIPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S POTOMAC ST, HAGERSTOWN, MD 21740-6680
(443) 839-6928
Mailing address
10019 REISTERSTOWN RD FL 3, OWINGS MILLS, MD 21117-3902
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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