Individual
MR. JAMIE BRENT KRAVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC LCADC
Contact information
Practice address
10400 RIDGLAND ROAD, STE 1, COCKEYSVILLE, MD 21030
(410) 628-6120
(410) 628-9825
Mailing address
10400 RIDGLAND ROAD, STE 1, COCKEYSVILLE, MD 21030
(410) 628-6120
(410) 628-9825
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA233
MD
101YP2500X
Professional Counselor
LC1169
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216879
COMPSYCH
—
01
—
25830024
CAREFIRST GHMSI
—
01
—
61922201
CAREFIRST MD
—
Enumeration date
09/28/2006
Last updated
09/11/2025
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