person
Cora Bethane Jackson Sieveka, LGSW
Mental Health Counselor in Lexington Park, Maryland
NPI 1386617207

Cora Bethane Jackson Sieveka is a Mental Health Counselor based in Lexington Park, MD and is specialized in Mental Health. Cora Bethane Jackson Sieveka practices in Lexington Park, MD and has the professional credentials of LGSW. The NPI Number for Cora Bethane Jackson Sieveka is 1386617207 and holds a License No. G11552 (Maryland).

The current practice location address for Cora Bethane Jackson Sieveka is 21770 Fdr Boulevard, Lexington Park, MD and can be reached out via phone at 301-862-4966 and via fax at 301-862-5554.

Location: 21770 Fdr Boulevard, Lexington Park, MD, 20653-0826
person
Provider Profile Details
NPI Number
1386617207
Provider Name
Cora Bethane Jackson Sieveka
Credential
LGSW
Provider Entity Type
Individual
Gender
Female
Address
21770 Fdr Boulevard, Lexington Park, MD, 20653-0826
Phone Number
301-862-4966
Fax Number
301-862-5554
Provider Enumeration Date
02/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
21770 Fdr Boulevard
City
State
Zip
20653
Phone Number
301-862-4966
Fax Number
301-862-5554
person
Provider Business Mailing Address Details
Address
21770 Fdr Boulevard
City
State
Zip
20653
Phone Number
301-862-4966
Fax Number
301-862-5554
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
G11552 (Maryland)
Definition
Definition to come...
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