Individual
KIESHA MERCEDES CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 BESTGATE RD, ANNAPOLIS, MD 21401-2453
(410) 222-6128
(410) 222-2113
Mailing address
8283 SEVERN ORCHARD CIR, SEVERN, MD 21144-2545
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3725
MD
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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