Individual
MARY ELIZABETH HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSC-AD
Contact information
Practice address
14701 NATIONAL HWY SW STE 5&6, LAVALE, MD 21502-6573
(301) 687-0940
(301) 687-0948
Mailing address
515 DRYER AVE, CUMBERLAND, MD 21502-1018
(301) 338-0999
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC3073
MD
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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