Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edna Kathaleen Smith, CAC-AD

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1629802079

Edna Kathaleen Smith, CAC-AD is an Addiction (Substance Use Disorder) Counselor in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2024.

Licensed in
MD
In the registry since
2024

Practice location Address checks out

4201 Primrose Ave
Baltimore, MD 21215-3305
Phone: (410) 764-8560
Fax: (410) 764-9114
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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 AC2022 (MD)

Record details

NPI number1629802079
Entity typeIndividual (Type 1)
GenderFemale
Credentials CAC-AD
Sole proprietorNo
NPI enumeratedAugust 28, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024

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