Individual
JUAN SEBASTIAN MANTILLA NAVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
6508 DEER POINTE DR STE 4, SALISBURY, MD 21804-1668
(410) 742-6016
Mailing address
6508 DEER POINTE DR STE 4, SALISBURY, MD 21804-1668
(410) 742-6016
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP15863
MD
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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