Provider Demographics
NPI:1437657004
Name:STURGIS, TONI CORLIANNE (LCPC)
Entity Type:Individual
Prefix:MS
First Name:TONI
Middle Name:CORLIANNE
Last Name:STURGIS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1361 PEMBERTON DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-2405
Mailing Address - Country:US
Mailing Address - Phone:443-477-1835
Mailing Address - Fax:
Practice Address - Street 1:100 E MAIN ST STE 502
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5079
Practice Address - Country:US
Practice Address - Phone:443-477-1835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-29
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC11402101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional