Individual
CHRYSTI S MACULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
212 BLUE BALL AVE, ELKTON, MD 21921-5222
(104) 620-6077
Mailing address
132 REEAND LN, CHURCH HILL, MD 21623-1439
(302) 359-7189
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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