Individual provider · Type 1 NPI

Robert Mayhew, ADT

Addiction (Substance Use Disorder) Counselor · Edgewood, MD

NPI number 1629734462 Active

Practice location

107 Edgewood Rd
Edgewood, MD 21040-3304

Mailing address

1033 Lake Front Drive
Edgewood, MD 21040

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XADT2351 (MD)

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

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About NPI 1629734462

Robert Mayhew, ADT's National Provider Identifier is 1629734462, issued on Nov 16, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Edgewood, MD. The record was last updated on Nov 16, 2021.