Marlene Gazella Stevenson in Baltimore - Addiction (substance Use Disorder)
Marlene Gazella Stevenson - NPI 1720203219
Marlene Gazella Stevenson is a Addiction (substance Use Disorder) in Baltimore, Maryland. Marlene Gazella Stevenson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Marlene Gazella Stevenson is 1720203219. The last update date is 2007-07-08.
Marlene Gazella Stevenson's current location address is 5811 Winner Avenue, Baltimore, Maryland. You can contact this provider via phone number 4104001857. The mailing address for Marlene Gazella Stevenson is 5811 Winner Avenue, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marlene Gazella Stevenson |
|---|---|
| Address | 5811 Winner Avenue, Baltimore, Maryland |
| Phone Number | 4104001857 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CAC-AD, MH |
NPI Number Detail
| NPI Number | 1720203219 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5811 Winner Avenue |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 21215 |
| Phone Number | 4104001857 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | ACO713 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Post Comment/ Review Below
What is the Marlene Gazella Stevenson's unique identification number?
The Marlene Gazella Stevenson has been assigned the NPI (National Provider Identifier) Number 1720203219 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Marlene Gazella Stevenson is located?
The Marlene Gazella Stevenson is situated at the following address: 5811 Winner Avenue, Baltimore, MD, 21215.
What is Marlene Gazella Stevenson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Marlene Gazella Stevenson is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
On what date did the Marlene Gazella Stevenson receive the assignment of its 1720203219 from the Centers for Medicare & Medicaid Services?
The Marlene Gazella Stevenson was issued its 1720203219 by the Centers for Medicare & Medicaid Services on 2007-04-17.
As of what date was the information pertaining to Marlene Gazella Stevenson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Marlene Gazella Stevenson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.