Individual
MRS. DONNA MARIA RUNKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. L-CADC
Contact information
Practice address
401 BOW ST., ELKTON, MD 21921
(410) 996-5106
(410) 996-5707
Mailing address
401 BOW ST, ELKTON, MD 21921-5501
(410) 996-5106
(410) 996-5707
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA141
MD
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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