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Organization
CPT, LLC
Active
Organization
CPT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY KENNELL (BILLING MANAGER)
(301) 722-0616
Entity
Organization
Contact information
Practice address
249 HENDERSON AVENUE, CUMBERLAND, MD 21502
(240) 362-7444
Mailing address
249 HENDERSON AVE, CUMBERLAND, MD 21502-1638
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
906350
MD
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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