# CHARLES COUNTY DEPARTMENT OF HEALTH

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

## Provider details

- **NPI number:** 1871982629
- **Authorized official:** MRS. DEBRA S BOWLING (BILLING MANAGER)
- **Authorized official phone:** (301) 609-6928

## Contact information

- **Practice address:** 6905 CRAIN HWY, LA PLATA, MD 20646-3956
- **Practice address phone:** (301) 609-6609
- **Mailing address:** PO BOX 1050, WHITE PLAINS, MD 20695-1050
- **Mailing address phone:** (301) 609-6600

## Taxonomy

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

## Other

- **Enumeration date:** 01/16/2015
- **Last updated:** 01/16/2015