Living Water Program

Organization Addiction (Substance Use Disorder) Counselor · NPI 1619144854

Living Water Program is an Addiction (Substance Use Disorder) Counselor in Huntingtown, Maryland. Licensed in Maryland. Registered with an NPI since 2008.

Licensed in: MD
In the registry since: 2008

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Practice location Address checks out

125 Thomas Gantt Rd
Huntingtown, MD 20639-8545
Phone: (301) 855-1458
Fax: (410) 535-4505

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary)	Taxonomy 101YA0400X · Licence MD10104401 (MD)

Record details

NPI number	1619144854
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Glinda Anderson — Clincial Director · (301) 855-1458
NPI enumerated	May 15, 2008
Last updated in NPPES	January 31, 2017
Mailing address	125 Thomas Gantt Rd, Huntingtown, MD 20639-8545