Individual provider · Type 1 NPI
Theresa Tyler-Peguese
Addiction (Substance Use Disorder) Counselor · Baltimore, MD
NPI number
1659466407
Active
Practice location
10 N Greene St, 6B-147
Baltimore, MD 21201-1524
Mailing address
949 Joshua Tree Ct
Owings Mills, MD 21117-1747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1659466407
Theresa Tyler-Peguese's National Provider Identifier is 1659466407, issued on Oct 4, 2006. 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.