Individual provider · Type 1 NPI

Amayi Gresham

Addiction (Substance Use Disorder) Counselor · Baltimore, MD

NPI number 1417814575 Active

Practice location

21 W 25th St
Baltimore, MD 21218-5003

Mailing address

11903 Tarragon Rd Apt H
Reisterstown, MD 21136-4333

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XADT3711 (MD)

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

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About NPI 1417814575

Amayi Gresham's National Provider Identifier is 1417814575, issued on Jan 8, 2026. 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 Jan 8, 2026.