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Organization
INNOVATIVE THERAPEUTIC SERVICES
Active
Organization
INNOVATIVE THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY CROMARTIE LCPC (CEO)
(301) 455-7872
Entity
Organization
Contact information
Practice address
44 N POTOMAC ST, HAGERSTOWN, MD 21740-4855
(301) 455-7872
Mailing address
14440 CHERRY LANE CT, LAUREL, MD 20707-4946
(301) 604-1458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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