Individual provider · Type 1 NPI

Ivy Pridgen

Addiction (Substance Use Disorder) Counselor · Baltimore, MD

NPI number 1548670870 Active

Practice location

1111 Washington Blvd
Baltimore, MD 21230-1824

Call (410) 467-6040 Map

Fax (410) 783-0569

Mailing address

PO Box 33109
Baltimore, MD 21218-0401

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XSC1867 (MD)

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

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About NPI 1548670870

Ivy Pridgen's National Provider Identifier is 1548670870, issued on May 8, 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 May 8, 2014.