Provider Demographics
NPI:1326615303
Name:VALENTINO, MARGARET MARY (CSC-AD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARY
Last Name:VALENTINO
Suffix:
Gender:F
Credentials:CSC-AD
Other - Prefix:
Other - First Name:MEG
Other - Middle Name:
Other - Last Name:VALENTINO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6908 BARON CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-2811
Mailing Address - Country:US
Mailing Address - Phone:301-305-0997
Mailing Address - Fax:
Practice Address - Street 1:201 BROADWAY ST STE 110
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-6696
Practice Address - Country:US
Practice Address - Phone:240-801-7799
Practice Address - Fax:240-801-7799
Is Sole Proprietor?:No
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSC2841101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)