Individual
SYLVIA SHIPMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3398 OAKHAM MOUNT DR, TRIANGLE, VA 22172-2342
(877) 360-1177
Mailing address
3398 OAKHAM MOUNT DR, TRIANGLE, VA 22172-2342
(877) 360-1177
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
06/12/2018
Last updated
05/15/2020
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