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Individual

JASON QUARANTILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
11763 GREENSPRING AVE, LUTHERVILLE, MD 21093-1428
(410) 989-3899
(410) 777-8742
Mailing address
PO BOX 5415, TOWSON, MD 21285-5415
(410) 989-3899
(410) 777-8742

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3477
MD

Other

Enumeration date
09/04/2008
Last updated
02/07/2014
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