Individual provider · Type 1 NPI

Mary Elizabeth Henderson, CSC-AD

Addiction (Substance Use Disorder) Counselor · Lavale, MD

NPI number 1013646397 Active

Practice location

14701 National Hwy SW Ste 5&6
Lavale, MD 21502-6573

Call (301) 687-0940 Map

Fax (301) 687-0948

Mailing address

515 Dryer Ave
Cumberland, MD 21502-1018

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XSC3073 (MD)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013646397

Mary Elizabeth Henderson, CSC-AD's National Provider Identifier is 1013646397, issued on Jun 10, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lavale, MD. The record was last updated on Jun 10, 2022.