Male or Other

Robert Gardner Jr. CIT-AD

Addiction (Substance Use Disorder) Counselor in Baltimore, MD(View on Map)

Full Name

Robert Gardner Jr. CIT-AD

NPI Number

1063827624

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/23/2014

Specialties

(Taxonomies)

Code

101YA0400X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

204

Contact
Information

Purpose

Mailing
Location

Address

14 S BROADWAY
14 S BROADWAY

City

Baltimore
Baltimore

State

MD
MD

Postal Code

21231-1712
21231-1712

Country

US
US

Telephone Number

N/A
(410) 276-1773

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/23/2014

Provider Address

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