Individual
JORDAN TODD TRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CT-AD
Contact information
Practice address
20 APPEAL LN, LUSBY, MD 20657-2935
(443) 880-4729
Mailing address
11201 SHARPTOWN RD, MARDELA SPRINGS, MD 21837-2231
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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