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Organization
MRT COUNSELING & WELLNESS CENTER, LLC
Active
Organization
MRT COUNSELING & WELLNESS CENTER, LLC
Active
Other names
MRT COUNSELING & WELLNESS CENTER, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
MARLON R TINKER LCSWC, CAC-AD (OWNER/PROVIDER)
(410) 689-8757
Entity
Organization
Contact information
Practice address
6600 YORK RD, SUITE 109A, BALTIMORE, MD 21212-2028
(410) 689-8757
Mailing address
6600 YORK RD, SUITE 109A, BALTIMORE, MD 21212-2028
(410) 689-8757
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AC1591
MD
1041C0700X
Clinical Social Worker
Primary
13822
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
324303600
—
MD
Enumeration date
06/25/2015
Last updated
08/14/2015
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