MEDICARE: SEVDA SAHRA KILIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	1437620416	MA

General Provider Information

NPI Number	:	1437620416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEVDA SAHRA KILIC

Provider Business Mailing Address
First Line	:	71 MONTVALE AVE APT 26
Second Line	:
City	:	STONEHAM
State	:	MA
Zip	:	02180-3612
Country	:	US
Telephone Number	:	617-945-3258
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 MAIN ST # 13R
Second Line	:
City	:	PEABODY
State	:	MA
Zip	:	01960-5890
Country	:	US
Telephone Number	:	857-256-4919
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2018
Last Update Date	:	06/15/2026

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Directions to “ SEVDA SAHRA KILIC ” Practice Location

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