Individual provider · Type 1 NPI

Kiesha Mercedes Chase

Addiction (Substance Use Disorder) Counselor · Annapolis, MD

NPI number 1104636406 Active

Practice location

711 Bestgate Rd
Annapolis, MD 21401-2453

Call (410) 222-6128 Map

Fax (410) 222-2113

Mailing address

8283 Severn Orchard Cir
Severn, MD 21144-2545

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3725 (MD)

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

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About NPI 1104636406

Kiesha Mercedes Chase's National Provider Identifier is 1104636406, issued on Jan 9, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Annapolis, MD. The record was last updated on Jan 9, 2025.