Individual provider · Type 1 NPI
Olythia Blue
Addiction (Substance Use Disorder) Counselor · Baltimore, MD
NPI number
1255740486
Active
Practice location
14 S Broadway
Baltimore, MD 21231-1712
Mailing address
3430 Park Heights Ave
Baltimore, MD 21215-7841
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | ADT820 (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1255740486
Olythia Blue's National Provider Identifier is 1255740486, issued on Aug 13, 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 Aug 13, 2014.