Individual provider · Type 1 NPI
Jack Crosier Jr., SUD COUNSELOR
Addiction (Substance Use Disorder) Counselor · Baltimore, MD
NPI number
1467159152
Active
Practice location
1803 Pennsylvania Ave Apt 5
Baltimore, MD 21217-3240
Mailing address
19 Clovelly St Apt 1306
Pikesville, MD 21208-6937
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1467159152
Jack Crosier Jr., SUD COUNSELOR's National Provider Identifier is 1467159152, issued on Feb 13, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Baltimore, MD. The record was last updated on Feb 13, 2023.