person
Mrs. Gwendolyn Marcella Blacknall, LGADC
Addiction (Substance Use Disorder) Counselor in Prince Frederick, Maryland
NPI 1275171217

Gwendolyn Marcella Blacknall is an Addiction (Substance Use Disorder) Counselor based in Prince Frederick, MD and is specialized in Addiction (Substance Use Disorder). Gwendolyn Marcella Blacknall practices in Prince Frederick, MD and has the professional credentials of LGADC. The NPI Number for Gwendolyn Marcella Blacknall is 1275171217 and holds a License No. LGA2466 (Maryland).

The current practice location address for Gwendolyn Marcella Blacknall is 65 Duke St Ste 203, Prince Frederick, MD and can be reached out via phone at 443-824-4818.

Location: 65 Duke St Ste 203, Prince Frederick, MD, 20678-6128
person
Provider Profile Details
NPI Number
1275171217
Provider Name
Gwendolyn Marcella Blacknall
Credential
LGADC
Provider Entity Type
Individual
Gender
Female
Address
65 Duke St Ste 203, Prince Frederick, MD, 20678-6128
Phone Number
443-824-4818
Fax Number
Provider Enumeration Date
12/19/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
65 Duke St Ste 203
City
State
Zip
20678-6128
Phone Number
443-824-4818
Fax Number
person
Provider Business Mailing Address Details
Address
65 Duke St Ste 203
City
State
Zip
20678-6128
Phone Number
443-824-4818
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LGA2466 (Maryland)
Definition
Definition to come...
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