Individual
VANESSA DENISE HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
3455 WILKENS AVE, BALTIMORE, MD 21229-5213
(443) 379-7781
Mailing address
3455 WILKENS AVE, BALTIMORE, MD 21229-5213
(443) 379-7781
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1789
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MD
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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