Individual
MELISSA OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 DRUID PARK DR, BALTIMORE, MD 21215-8102
(410) 728-8901
Mailing address
1611 JOPLIN ST, BALTIMORE, MD 21224-6236
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
333771502
—
MD
Enumeration date
07/27/2007
Last updated
01/22/2010
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