Individual
JACQUELINE R TROTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 N POINT BLVD, STE 124, BALTIMORE, MD 21224-3417
(410) 285-8157
(410) 285-8298
Mailing address
409 LIBERTY CT, EDGEWOOD, MD 21040-2215
(410) 676-4291
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
REF# 480
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
REF#480
DHMH ALCOHOL AND DRUG TRAINEE CERTIFICATE
MD
Enumeration date
06/01/2011
Last updated
06/01/2011
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