Individual
JOHN FUSCIELLO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
628 SAINT JOHNS RD, BALTIMORE, MD 21210-2105
(410) 241-7168
Mailing address
628 SAINT JOHNS RD, BALTIMORE, MD 21210-2105
(410) 241-7168
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7435
MD
Other
Enumeration date
03/04/2014
Last updated
12/29/2016
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