Individual
VIVIAN S SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, NCC, OTR/L
Contact information
Practice address
24 N. MAIN STREET, BOONSBORO, MD 21713
(301) 991-5973
(410) 848-5629
Mailing address
PO BOX 973, WESTMINSTER, MD 21158-0973
(410) 848-5785
(410) 848-5629
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541067300
—
MD
Enumeration date
04/10/2007
Last updated
09/10/2020
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