Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | MD |
NPI | 1003481995 |
---|---|
Provider Name | Linda Wilhelmina Mcneil |
First Address | Timonium, MD 21093-4101 |
Second Address | Timonium, MD 21093-4101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2021 |
Last Update Date | 24/05/2021 |