Provider Demographics
NPI:1063695583
Name:DARLING, EVAN PHILIP (CAC-AD, ADS)
Entity type:Individual
Prefix:MR
First Name:EVAN
Middle Name:PHILIP
Last Name:DARLING
Suffix:
Gender:M
Credentials:CAC-AD, ADS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6401 YORK RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-2152
Mailing Address - Country:US
Mailing Address - Phone:410-853-3388
Mailing Address - Fax:410-853-3955
Practice Address - Street 1:6401 YORK RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-2152
Practice Address - Country:US
Practice Address - Phone:410-853-3388
Practice Address - Fax:410-853-3955
Is Sole Proprietor?:No
Enumeration Date:2007-12-06
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC15705101YP2500X
MDAC0538101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional