Organization · Type 2 NPI
Gaudenzia
Addiction (Substance Use Disorder) Counselor · Severna Park, MD
NPI number
1740652304
Active
Practice location
570 Ritchie Hwy, Suite H
Severna Park, MD 21146-2925
Mailing address
3643 Woodland Ave
Baltimore, MD 21215-5512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1740652304
Gaudenzia's National Provider Identifier is 1740652304, issued on Oct 22, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Severna Park, MD. The record was last updated on Oct 22, 2015.