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NPI Code Detail

MEDICARE: ERIN MCPHERSON CAC-AD

MEDICARE: ERIN MCPHERSON CAC-AD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorAC2269MD

General Provider Information

NPI Number : 1962918714
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN MCPHERSON CAC-AD
Provider Business Mailing Address
First Line : 111 E MAIN ST
Second Line :
City : ELKTON
State : MD
Zip : 21921-5996
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 111 E MAIN ST
Second Line :
City : ELKTON
State : MD
Zip : 21921-5996
Country : US
Telephone Number : 443-406-3234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2017
Last Update Date : 12/15/2017

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