Individual
JESSE ALLEN NANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAC-AD
Contact information
Practice address
1101 N POINT BLVD STE 124, BALTIMORE, MD 21224-3417
(410) 440-5780
Mailing address
1907 HEMLOCK RD, EDGEWOOD, MD 21040-2422
(410) 591-4417
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC3564
MD
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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