Individual
STACEY MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC-AD
Contact information
Practice address
212 BLUE BALL AVE, ELKTON, MD 21921-5222
(443) 993-8227
Mailing address
3839 MEMORY LN APT A, ABINGDON, MD 21009-2949
(443) 643-5828
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC2912
MD
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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