Individual
CHARLES WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
7310 RITCHIE HWY, SUITE 1009, GLEN BURNIE, MD 21061-3065
(410) 768-5988
Mailing address
1904 WOODSBORO PL, EDGEWATER, MD 21037-1722
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA396
MD
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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