Individual
MARLENE GAZELLA STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC-AD, MHS
Contact information
Practice address
1501 W. SARATOGA STREET, BALTIMORE, MD 21223
(410) 383-3129
(410) 383-3131
Mailing address
5811 WINNER AVENUE, BALTIMORE, MD 21215
(410) 400-1857
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACO713
MD
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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