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Individual

ERICA GATER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSC- AD

Contact information

Practice address
1101 N POINT BLVD, BALTIMORE, MD 21224-3417
(410) 285-8157
(410) 285-8298
Mailing address
1925 GREENSPRING DR, TIMONIUM, MD 21093-4128
(410) 453-9553
(443) 612-1488

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
357
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC1872
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
357
DHMH ALCOHOL & DRUG TRAINIEE EMPLOYMENT AUTHORIZATION
MD
Enumeration date
05/11/2011
Last updated
07/21/2014
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