Individual provider · Type 1 NPI

Kathyann P. Wilson-Beauford

Addiction (Substance Use Disorder) Counselor · Brooklyn Park, MD

NPI number 1669045712 Active

Practice location

5710 Ritchie Hwy
Brooklyn Park, MD 21225-3641

Fax (410) 636-5600

Mailing address

1202 Plaza Cir
Joppa, MD 21085-3608

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1669045712

Kathyann P. Wilson-Beauford's National Provider Identifier is 1669045712, issued on Jul 16, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brooklyn Park, MD. The record was last updated on Jul 16, 2021.