Individual provider · Type 1 NPI
Tia Henry, CAC-AD
Addiction (Substance Use Disorder) Counselor · Baltimore, MD
NPI number
1386045102
Active
Practice location
2225 N Charles St
Baltimore, MD 21218-5778
Fax (410) 662-8547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | AC2064 (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1386045102
Tia Henry, CAC-AD's National Provider Identifier is 1386045102, issued on Sep 11, 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 Sep 11, 2014.