Individual
JACK CROSIER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUD COUNSELOR
Contact information
Practice address
1803 PENNSYLVANIA AVE APT 5, BALTIMORE, MD 21217-3240
(443) 636-6335
Mailing address
19 CLOVELLY ST APT 1306, PIKESVILLE, MD 21208-6937
(410) 387-6238
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MD
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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