Individual
SHANE LELWICA-HEBEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
301 SAINT PAUL ST STE 409, BALTIMORE, MD 21202-2102
(443) 449-5604
Mailing address
301 SAINT PAUL ST STE 409, BALTIMORE, MD 21202-2102
(443) 449-5604
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC12475
MD
101YM0800X
Mental Health Counselor
PC014222
PA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/02/2019
Last updated
03/11/2022
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