MEDICARE: CYNTHIA BETH HURD CSC-A&D

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	SC1746	MD

General Provider Information

NPI Number	:	1588956379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA BETH HURD CSC-A&D

Provider Business Mailing Address
First Line	:	2610 GREENBRIAR LN
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-4424
Country	:	US
Telephone Number	:	410-268-5605
Fax Number	:	410-268-6965

Provider Business Practice Location Address
First Line	:	2610 GREENBRIAR LN
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-4424
Country	:	US
Telephone Number	:	410-268-5605
Fax Number	:	410-268-6965

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2011
Last Update Date	:	07/25/2013

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