Individual
ANTIONETTE SMITH-NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSC-AD
Contact information
Practice address
2225 N CHARLES ST, BALTIMORE, MD 21218-5778
(410) 360-4360
(410) 366-4134
Mailing address
2925 SYLVAN AVE, BALTIMORE, MD 21214-1249
(410) 982-7391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC0748
MD
Other
Enumeration date
07/14/2014
Last updated
07/16/2014
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