Provider Demographics
NPI:1275318461
Name:SINCLAIR, CHANEL L
Entity Type:Individual
Prefix:
First Name:CHANEL
Middle Name:L
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 KENDIG DR
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1371
Mailing Address - Country:US
Mailing Address - Phone:203-715-8599
Mailing Address - Fax:
Practice Address - Street 1:1421 CLARKVIEW RD STE 208
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-2106
Practice Address - Country:US
Practice Address - Phone:203-715-8599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health