Individual
CHARLENE BRIDDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W PRATT ST, BALTIMORE, MD 21223-2679
(443) 462-3400
(443) 462-3086
Mailing address
10400 RIDGLAND RD, COCKEYSVILLE, MD 21030-2715
(410) 628-6120
(410) 628-0953
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YA0400X
MD
101YP2500X
Professional Counselor
Primary
LGP6232
MD
Other
Enumeration date
02/05/2014
Last updated
04/15/2015
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