Individual
MR. JAMEL CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
6707 WHITESTONE RD STE 106, BALTIMORE, MD 21207-4140
(410) 265-8737
Mailing address
6707 WHITESTONE RD STE 106, BALTIMORE, MD 21207-4140
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC10625
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30-8672
STATE CERTIFICATION
MD
01
—
LGP7723
STATE LICENSURE
MD
Enumeration date
04/23/2019
Last updated
02/01/2021
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