Individual
DAVID ENGWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2117 MARYLAND AVE, BALTIMORE, MD 21218-5614
(410) 837-4292
Mailing address
1504 DORCHESTER AVE, GWYNN OAK, MD 21207-5021
(443) 509-3636
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
LC5383
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258712200
—
MD
Enumeration date
03/02/2010
Last updated
07/16/2019
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