Individual
KATOANH SHARRELL PHILLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 BUSINESS CENTER WAY, EDGEWOOD, MD 21040-1504
(443) 461-3311
Mailing address
1919 GRAYMOUNT WAY, EDGEWOOD, MD 21040-3015
(443) 680-6839
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADT2013
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT2039
MD
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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