Individual provider · Type 1 NPI
Mary Jane Goetzke, LCADC
Addiction (Substance Use Disorder) Counselor · Cockeysville, MD
NPI number
1730454620
Active
Practice location
10400 Ridgland Rd, Ste. 1
Cockeysville, MD 21030-2715
Fax (410) 628-9825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCA094 (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1730454620
Mary Jane Goetzke, LCADC's National Provider Identifier is 1730454620, issued on Mar 12, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cockeysville, MD. The record was last updated on May 30, 2013.