Individual provider · Type 1 NPI

Edna Kathaleen Smith, CAC-AD

Addiction (Substance Use Disorder) Counselor · Baltimore, MD

NPI number 1629802079 Active

Practice location

4201 Primrose Ave
Baltimore, MD 21215-3305

Call (410) 764-8560 Map

Fax (410) 764-9114

Mailing address

10 Montrose Ave
Owings Mills, MD 21117-4132

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAC2022 (MD)

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

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About NPI 1629802079

Edna Kathaleen Smith, CAC-AD's National Provider Identifier is 1629802079, issued on Aug 28, 2024. 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 Aug 28, 2024.