Individual
ANTONIO PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSC-AD
Contact information
Practice address
2225 N CHARLES ST, BALTIMORE, MD 21218-5778
(410) 366-4360
(410) 662-8547
Mailing address
2225 N CHARLES ST, BALTIMORE, MD 21218-5778
(410) 366-4360
(410) 662-8547
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC0562
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC0562
CSC-AD
MD
Enumeration date
10/03/2014
Last updated
10/03/2014
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