Individual
KEANNA GRACE SILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9400 GRAND BLVD APT 1603, LARGO, MD 20774-2650
(301) 710-3054
Mailing address
9400 GRAND BLVD APT 1603, LARGO, MD 20774-2650
(301) 710-3054
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC3104
MD
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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