Individual
WARDELL BARKSDALE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
2225 N CHARLES ST, BALTIMORE, MD 21218-5778
(443) 573-8673
Mailing address
3218 MASSACHUSETTS AVE, BALTIMORE, MD 21229-3765
(410) 945-5899
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
G08097
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G08097
LICENSE
MD
Enumeration date
10/04/2011
Last updated
01/20/2012
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