Individual
EDITH BIGELOW TALEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSC-AD
Contact information
Practice address
207 WISE AVE, DUNDALK, MD 21222
(888) 339-7339
Mailing address
10996 4 SEASONS PL, CROWN POINT, IN 46307
(888) 339-7339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC2441
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC2441
CSC-AD
MD
Enumeration date
06/11/2021
Last updated
06/11/2021
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