Individual
SHELLEY NICHOLE MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
185 ADMIRAL COCHRANE DR STE 120, ANNAPOLIS, MD 21401-7600
(443) 440-5782
Mailing address
628 SEAN DR, ANNAPOLIS, MD 21401-6504
(443) 924-1043
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT2638
MD
Other
Enumeration date
03/13/2022
Last updated
03/13/2022
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