# CPT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568914760
- **Authorized official:** TIFFANY KENNELL (BILLING MANAGER)
- **Authorized official phone:** (301) 722-0616

## Contact information

- **Practice address:** 249 HENDERSON AVENUE, CUMBERLAND, MD 21502
- **Practice address phone:** (240) 362-7444
- **Mailing address:** 249 HENDERSON AVE, CUMBERLAND, MD 21502-1638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 906350 | MD | Yes |

## Other

- **Enumeration date:** 11/04/2016
- **Last updated:** 11/04/2016