MEDICARE: ERIN HUME

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	LC2785	MD

General Provider Information

NPI Number	:	1750038998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN HUME

Provider Business Mailing Address
First Line	:	4231 POSTAL CT STE 201
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-4474
Country	:	US
Telephone Number	:	410-255-4475
Fax Number	:	410-255-6277

Provider Business Practice Location Address
First Line	:	4231 POSTAL CT STE 201
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-4474
Country	:	US
Telephone Number	:	410-255-4475
Fax Number	:	410-255-6277

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

Provider Enumeration Date	:	03/08/2022
Last Update Date	:	03/08/2022

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