Individual provider · Type 1 NPI
Gerald Wendell Brandon
Addiction (Substance Use Disorder) Counselor · Baltimore, MD
NPI number
1013159391
Active
Practice location
1501 W Saratoga St
Baltimore, MD 21223-1749
Mailing address
8214 Ethan Way
Windsor Mill, MD 21244-2062
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1013159391
Gerald Wendell Brandon's National Provider Identifier is 1013159391, issued on Apr 1, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baltimore, MD. The record was last updated on Dec 21, 2009.