Individual
SHELLY WARNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC, LCPC
Contact information
Practice address
31 BALTIMORE ST, STE 108, CUMBERLAND, MD 21502-3091
(301) 697-4196
Mailing address
PO BOX 312, CUMBERLAND, MD 21501-0312
(301) 697-4196
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA2488
MD
101YP2500X
Professional Counselor
Primary
LC9535
MD
Other
Enumeration date
02/08/2017
Last updated
09/30/2021
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