Individual provider · Type 1 NPI

Latashia N. Pettiford, CAC-AD

Addiction (Substance Use Disorder) Counselor · Baltimore, MD

NPI number 1306417142 Active

Practice location

6207 Belair Rd
Baltimore, MD 21206-1942

Mailing address

6900 Eastbrook Ave
Baltimore, MD 21224-1839

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2967 (MD)

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

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About NPI 1306417142

Latashia N. Pettiford, CAC-AD's National Provider Identifier is 1306417142, issued on Jul 2, 2021. 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 Jul 2, 2021.