Individual
JASON SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 LANGLEY RD N STE A, GLEN BURNIE, MD 21060-6531
(410) 222-6785
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC3300
MD
Other
Enumeration date
06/27/2011
Last updated
07/23/2024
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