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Organization
INNOVATIVE THERAPEUTIC SERVICES, LLC
Active
Organization
INNOVATIVE THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY CROMARTIE LCPC (CEO)
(301) 455-7872
Entity
Organization
Contact information
Practice address
14440 CHERRY LANE CT, SUITE 208, LAUREL, MD 20707-4946
(301) 604-1458
Mailing address
14440 CHERRY LANE CT, SUITE 208, LAUREL, MD 20707-4946
(301) 604-1458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC1655
MD
101YM0800X
Mental Health Counselor
Primary
LC3403
MD
1041C0700X
Clinical Social Worker
15169
MD
Other
Enumeration date
01/22/2010
Last updated
03/09/2012
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