Individual
MR. GARY STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC-AS
Contact information
Practice address
6401 YORK RD, BALTIMORE, MD 21212-2152
(410) 853-3447
Mailing address
6401 YORK RD, BALTIMORE, MD 21212-2152
(410) 853-3447
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0189
MD
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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