Individual
MR. ISAAC HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CACA&D
Contact information
Practice address
1501 DIVISION ST, BALTIMORE, MD 21217-3121
(410) 383-8300
(410) 383-3131
Mailing address
1501 DIVISION ST, BALTIMORE, MD 21217-3121
(410) 383-8300
(410) 383-3131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0546
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972597425
PROVIDER ID
MD
01
—
905611400
MEDICAL #
MD
Enumeration date
05/23/2011
Last updated
05/23/2011
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