Individual provider · Type 1 NPI

Michael Kirk Douglas, M.H.S., CAC-AD

Addiction (Substance Use Disorder) Counselor · Baltimore, MD

NPI number 1437203544 Active

Practice location

1303 Kent Avenue
Baltimore, MD 21207-4828

Call (410) 719-7408 Map

Mailing address

1303 Kent Ave
Baltimore, MD 21207-4828

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAC0626 (MD)

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

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About NPI 1437203544

Michael Kirk Douglas, M.H.S., CAC-AD's National Provider Identifier is 1437203544, issued on Jan 23, 2007. 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 8, 2007.