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Individual

MR. GERARD JANUSZEWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.C.A.D.C.

Contact information

Practice address
130 LUBRANO DR, L-19, ANNAPOLIS, MD 21401-7038
(410) 980-8957
Mailing address
PO BOX 2184, ANNAPOLIS, MD 21404-2184
(410) 980-8957

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA365
MD
101YM0800X
Mental Health Counselor
LCA365
MD

Other

Enumeration date
07/26/2016
Last updated
07/26/2016
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