Individual
MRS. MELINDA ANNETTE FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
30007 BUSINESS CENTER DR, CHARLOTTE HALL, MD 20622-3101
(301) 997-1300
Mailing address
38448 ARLINGTON DR, MECHANICSVILLE, MD 20659-6313
(443) 968-1016
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT2670
MD
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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