Provider Demographics
NPI:1851977979
Name:GARNER, CLAUDIA A (CAC-AD)
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:A
Last Name:GARNER
Suffix:
Gender:F
Credentials:CAC-AD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 OCALA AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-7802
Mailing Address - Country:US
Mailing Address - Phone:443-301-8502
Mailing Address - Fax:
Practice Address - Street 1:1317 E NORTH AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213-1405
Practice Address - Country:US
Practice Address - Phone:443-301-8502
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-19
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1576101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)