Individual provider · Type 1 NPI

Michele Tanner, CAC-AD

Addiction (Substance Use Disorder) Counselor · Baltimore, MD

NPI number 1245654813 Active

Practice location

2225 N Charles St
Baltimore, MD 21218-5778

Mailing address

3004 Fleetwood Ave
Baltimore, MD 21214-1452

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XSC1860 (MD)

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

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About NPI 1245654813

Michele Tanner, CAC-AD's National Provider Identifier is 1245654813, issued on Feb 18, 2014. 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 Feb 18, 2014.