Individual
JACQUELINE SORRELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
204 CEDAR ST STE 102, CAMBRIDGE, MD 21613-2395
(443) 351-4846
Mailing address
204 CEDAR ST STE 102, CAMBRIDGE, MD 21613-2395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP10971
MD
101YP2500X
Professional Counselor
LGP10971
MD
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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