Individual provider · Type 1 NPI
Mundrae Dallas White, LCADC
Addiction (Substance Use Disorder) Counselor · Baltimore, MD
NPI number
1669832028
Active
Practice location
3218 Mayfair Rd
Baltimore, MD 21207-4561
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCA2225 (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1669832028
Mundrae Dallas White, LCADC's National Provider Identifier is 1669832028, issued on Feb 29, 2016. 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 Feb 29, 2016.