Individual
MS. ANDREA RENATA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
3455 WILKENS AVE LOWR LEVEL20, BALTIMORE, MD 21229-5213
(410) 646-6970
Mailing address
33 MOPEC CIR APT C, NOTTINGHAM, MD 21236-4535
(443) 756-6864
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT3550
MD
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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