Individual
AUDREY PARKER-BALTHASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
828 AIRPAX RD, BLDG B STE 300, CAMBRIDGE, MD 21613-6401
(410) 228-3929
(410) 228-3810
Mailing address
828 AIRPAX RD, BLDG B STE 300, CAMBRIDGE, MD 21613-6401
(410) 228-3929
(410) 228-3810
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0753
MD
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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