Individual
REGINALD PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 N CHARLES ST, BALTIMORE, MD 21201-5920
(441) 234-2701
Mailing address
1800 N CHARLES ST, BALTIMORE, MD 21201-5920
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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