Individual
MS. MONICA NICOLE KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC-AD SUPERVISOR
Contact information
Practice address
32 S BROADWAY, BALTIMORE, MD 21231-1712
(410) 276-1773
Mailing address
1308 BUSINESS CENTER WAY STE 102, EDGEWOOD, MD 21040-1504
(443) 461-3311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/30/2015
Last updated
10/05/2021
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