Individual provider · Type 1 NPI
Kristy Jean Conklin, CAC-AD
Addiction (Substance Use Disorder) Counselor · Elkton, MD
NPI number
1912614082
Active
Practice location
422 North St
Elkton, MD 21921-5516
Mailing address
113 W Huron Ct
North East, MD 21901-2800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | AC2918 (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1912614082
Kristy Jean Conklin, CAC-AD's National Provider Identifier is 1912614082, issued on Oct 28, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Elkton, MD. The record was last updated on Oct 28, 2022.