Individual provider · Type 1 NPI

Katoanh Sharrell Phillip

Addiction (Substance Use Disorder) Counselor · Edgewood, MD

NPI number 1922731041 Active

Practice location

1308 Business Center Way
Edgewood, MD 21040-1504

Mailing address

1919 Graymount Way
Edgewood, MD 21040-3015

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XADT2013 (MD)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XADT2039 (MD)

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

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About NPI 1922731041

Katoanh Sharrell Phillip's National Provider Identifier is 1922731041, issued on Jul 6, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Edgewood, MD. The record was last updated on Jul 6, 2022.