Individual provider · NPI-1
Sharon J. Church, LCPC
Counselor, Professional · Oxon Hill, MD
NPI number1013471317
StatusActive
Last updated in NPPESOct 2, 2020
Details
- NPI
- 1013471317
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Sharon J. Church
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2019
- Certification date
- Oct 2, 2020
- Last updated
- Oct 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LC10601 | MD | Yes |
Practice location
6188 Oxon Hill RoadSuite 500
Oxon Hill, MD 20745-3136
Phone 301-567-0400 · Fax 301-567-7900
Mailing address
4215 Ellicott Street NwWashington, DC 20016-4026
Phone 202-285-6462
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