Organization
TALBOT COUNTY HEALTH DEPARTMENT ADDICTIONS PROGRAM
Active
Parent organization
TALBOT COUNTY HEALTH DEPARTMENT
Organization subpart
Yes
Provider details
NPI number
Legal business name
TALBOT COUNTY HEALTH DEPARTMENT
Authorized official
MARK A. CARPENTER PSY.D. (PROGRAM DIRECTOR)
(410) 819-5900
Entity
Organization
Contact information
Practice address
301 BAY STREET, SUITE 307, EASTON, MD 21601-2796
(410) 819-5900
(410) 819-0591
Mailing address
301 BAY STREET, SUITE 307, EASTON, MD 21601-2796
(410) 819-5900
(410) 819-0591
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
903058
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
903406
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106469
AMERIGROUP
VA
01
—
655252801
MARYLAND PHYSICIANS CARE
AZ
01
—
655252801
PRIORITY PARTNERS
MA
01
—
655252801
UNITED HEALTH CARE
UT
05
—
655252801
—
MD
01
—
VA10
CARE FIRST BLUE CROSS BLUE SHIELD
KY
Enumeration date
02/09/2007
Last updated
04/24/2008
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