Individual provider · Type 1 NPI

Jesse Allen Nantz, CAC-AD

Addiction (Substance Use Disorder) Counselor · Baltimore, MD

NPI number 1487521035 Active

Practice location

1101 N Point Blvd Ste 124
Baltimore, MD 21224-3417

Call (410) 440-5780 Map

Mailing address

1907 Hemlock Rd
Edgewood, MD 21040-2422

Other practice locations

  • 107 Edgewood Rd, Edgewood, MD 21040-3304 · (410) 440-5780

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XAC3564 (MD)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1487521035

Jesse Allen Nantz, CAC-AD's National Provider Identifier is 1487521035, issued on Oct 20, 2025. 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 Oct 20, 2025.