Individual
MR. KENDALL TEMPLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSW, CAC-AD
Contact information
Practice address
8930 STANFORD BLVD, COLUMBIA, MD 21045-5805
(443) 208-5080
Mailing address
8930 STANFORD BLVD, COLUMBIA, MD 21045-5805
(443) 208-5080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC2205
MD
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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