Individual provider · Type 1 NPI

Casandra D. Park, ADT

Addiction (Substance Use Disorder) Counselor · Elkton, MD

NPI number 1356186076 Active

Practice location

111 E Main St Ste B
Elkton, MD 21921-5996

Mailing address

136 Cherry Tree Ln
Elkton, MD 21921-5812

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XADT3260 (MD)

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

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About NPI 1356186076

Casandra D. Park, ADT's National Provider Identifier is 1356186076, issued on Jun 25, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Elkton, MD. The record was last updated on Jun 25, 2024.