person
Sivan Perdue, LCPAT
Mental Health Counselor in Princess Anne, Maryland
NPI 1073912572

Sivan Perdue is a Mental Health Counselor based in Princess Anne, MD and is specialized in Mental Health. Sivan Perdue practices in Princess Anne, MD and has the professional credentials of LCPAT. The NPI Number for Sivan Perdue is 1073912572 and holds a License No. ATC074 (Maryland).

The current practice location address for Sivan Perdue is 11672 Somerset Ave, Princess Anne, MD and can be reached out via phone at 410-621-5858 and via fax at 410-621-5858.

Location: 11672 Somerset Ave, Princess Anne, MD, 21853-1136
person
Provider Profile Details
NPI Number
1073912572
Provider Name
Sivan Perdue
Credential
LCPAT
Provider Entity Type
Individual
Gender
Female
Address
11672 Somerset Ave, Princess Anne, MD, 21853-1136
Phone Number
410-621-5858
Fax Number
410-621-5858
Provider Enumeration Date
08/20/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
147007800 05 MD
institution
Provider Business Practice Location Address Details
Address
11672 Somerset Ave
City
State
Zip
21853-1136
Phone Number
410-621-5858
Fax Number
410-621-5858
person
Provider Business Mailing Address Details
Address
11672 Somerset Ave
City
State
Zip
21853-1136
Phone Number
410-621-5858
Fax Number
410-621-5858
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
ATC074 (Maryland)
Definition
Definition to come...
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