Individual
RUSSELL DAVID BYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 SHIPPING PL, BALTIMORE, MD 21222-4318
(410) 282-5401
Mailing address
23 SHIPPING PL, BALTIMORE, MD 21222-4318
(410) 282-5401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC5472
MD
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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