Individual
MRS. SARAH SHUMPERT TOTUSHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5407 N CHARLES ST, BALTIMORE, MD 21210-2024
(410) 433-8861
(410) 433-1249
Mailing address
5407 N CHARLES ST, BALTIMORE, MD 21210-2024
(410) 433-8861
(410) 433-1249
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC 0851
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010
FED BC
—
01
—
111065
JOHNS HOPKINS HEALTH CARE
—
01
—
226234
KAISER
—
01
—
330045
MANAGED HEALTH NETWORK TR
—
01
—
605149 01
BCBS
MD
Enumeration date
07/05/2006
Last updated
07/08/2007
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