| Doctor Name: | CLAIBORNE BETH OHLSSON |
| NPI Number: | 1013062793 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CSC |
| License Number: | SCO360 |
| Business Practice Address: | 1001 Lake St Center 4 Clean Start Salisbury, MD - 218013141 |
| Business Phone Number: | 4107423460 |
| Business Fax Number: | 4107425810 |
| Mailing Address: | 326 Poplar Hill Ave, SALISBURY |
| State: | MD |
| Postal Code: | 218014277 |
| Phone Number: | 4106770477 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | SCO360 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |