Individual
AMAYI GRESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 W 25TH ST, BALTIMORE, MD 21218-5003
(443) 541-4455
Mailing address
11903 TARRAGON RD APT H, REISTERSTOWN, MD 21136-4333
(443) 410-9481
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT3711
MD
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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