Charles Walsh, LCADC

NPI 1699984799 · on the registry since 2007 · sole proprietor

Practice

Address: 7310 Ritchie Hwy
Suite 1009
Glen Burnie, MD 21061
Phone: (410) 768-5988
Organisation at this address: Ivory Inc
Ivory Inc
Keyona Llc
Medmart Inc
Kena Rae Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 102

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland