STACEY CHIVERAL

BALTIMORE, MD
NPI1548644552
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MD  LC6422)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  SC0674)
Enumeration Date2015-07-20
Last Update Date2015-07-20
Business Address
-- STACEY CHIVERAL LCPC
14 S BROADWAY
BALTIMORE, MD 21231-1712
Phone number: 410-276-1773
Mailing Address
-- STACEY CHIVERAL LCPC
205 IDLEWILD RD
BEL AIR, MD 21014-4046
Phone number:
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