Individual
MICHAEL BRUCE HERRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12134 WALNUT POINT RD, HAGERSTOWN, MD 21740-2316
(410) 892-4033
Mailing address
12134 WALNUT POINT RD, HAGERSTOWN, MD 21740-2316
(410) 892-4033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT2483
MD
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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