Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | LGP11227 | MD |
NPI | 1003491564 |
---|---|
Provider Name | Nicole Sonnleitner Scarola |
First Address | Chevy Chase, MD 20815-3524 |
Second Address | Chevy Chase, MD 20815-3524 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2021 |
Last Update Date | 16/03/2021 |