Individual provider · Type 1 NPI

Cora Bethane Jackson Sieveka, LGSW

Mental Health Counselor · Lexington Park, MD

NPI number 1386617207 Active

Practice location

21770 Fdr Boulevard
Lexington Park, MD 20653

Call (301) 862-4966 Map

Fax (301) 862-5554

Mailing address

PO Box 826, Trico Corporation
Lexington Park, MD 20653-0826

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XG11552 (MD)

Mental Health Counselor: Definition to come...

7 other providers at this address

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About NPI 1386617207

Cora Bethane Jackson Sieveka, LGSW's National Provider Identifier is 1386617207, issued on Feb 10, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lexington Park, MD. The record was last updated on Jul 13, 2026.