Individual provider · Type 1 NPI

Stacey Moran, CAC-AD

Addiction (Substance Use Disorder) Counselor · Elkton, MD

NPI number 1912774555 Active

Practice location

212 Blue Ball Ave
Elkton, MD 21921-5222

Mailing address

3839 Memory Ln Apt A
Abingdon, MD 21009-2949

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAC2912 (MD)

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

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About NPI 1912774555

Stacey Moran, CAC-AD's National Provider Identifier is 1912774555, issued on Dec 5, 2023. 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 Dec 5, 2023.