Individual
MRS. JOANN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSC-AD
Contact information
Practice address
1734 MARYLAND AVE, BALTIMORE, MD 21201-5804
(410) 685-1180
(410) 685-0059
Mailing address
1734 MARYLAND AVE, BALTIMORE, MD 21201-5804
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SCO228
MD
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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