Individual
KELSEY GWEN WETHERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
300B SCHOLLS LN, FREDERICK, MD 21701-6380
(240) 815-7300
(301) 898-2918
Mailing address
300B SCHOLLS LN, FREDERICK, MD 21701-6380
(240) 815-7300
(301) 898-2918
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT1216
MD
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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