Individual
LARRY KIRKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3051 SINCLAIR LANE, BALTIMORE, MD 21213
(410) 558-4888
Mailing address
735 E LAKE AVE, BALTIMORE, MD 21212-3105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0319
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
521358241
—
MD
Enumeration date
09/01/2016
Last updated
09/01/2016
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