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Individual

DR. SHRYL WHIGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LCPC, LCADC

Contact information

Practice address
425 BRIGHTSEAT RD, ROOM 150, LANDOVER, MD 20785-4708
(301) 909-6059
Mailing address
501 HAMPTON PARK BLVD, CAP PROGRAM/PRINCE GEORGE'S COUNTY HEALTH DEPARTMENT, CAPITOL HEIGHTS, MD 20743-3802
(301) 909-6059

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA276
MD
101YP2500X
Professional Counselor
Primary
LC1646
MD

Other

Enumeration date
08/08/2014
Last updated
08/08/2014
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