Individual
CRYSTAL SHARRELL DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 WASHINGTON AVE, HALETHORPE, MD 21227-3115
(667) 600-3900
Mailing address
4264 MARY RIDGE DR, RANDALLSTOWN, MD 21133-4319
(443) 831-1284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP12636
MD
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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