person
Mr. Jamie Brent Kravitz, LCPCLCADC
Professional Counselor in Cockeysville, Maryland
NPI 1558453514

Jamie Brent Kravitz is a Professional Counselor based in Cockeysville, MD and is specialized in Professional. Jamie Brent Kravitz practices in Cockeysville, MD and has the professional credentials of LCPCLCADC. The NPI Number for Jamie Brent Kravitz is 1558453514 and holds a License No. LCA233 (Maryland).

The current practice location address for Jamie Brent Kravitz is 10400 Ridgland Road, Cockeysville, MD and can be reached out via phone at 410-628-6120 and via fax at 410-628-9825. You can also correspond with Jamie Brent Kravitz through the mailing address at 10400 RIDGLAND ROAD, COCKEYSVILLE, MD - 21030 (mailing address contact number: 410-628-6120).

Location: 10400 Ridgland Road, Cockeysville, MD, 21030
person
Provider Profile Details
NPI Number
1558453514
Provider Name
Jamie Brent Kravitz
Credential
LCPCLCADC
Provider Entity Type
Individual
Gender
Male
Address
10400 Ridgland Road, Cockeysville, MD, 21030
Phone Number
410-628-6120
Fax Number
410-628-9825
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61922201 01 CAREFIRST MD
25830024 01 CAREFIRST GHMSI
216879 01 COMPSYCH
institution
Provider Business Practice Location Address Details
Address
10400 Ridgland Road
City
State
Zip
21030
Phone Number
410-628-6120
Fax Number
410-628-9825
person
Provider Business Mailing Address Details
Address
10400 Ridgland Road
City
State
Zip
21030
Phone Number
410-628-6120
Fax Number
410-628-9825
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LC1169 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCA233 (Maryland)
Definition
Definition to come...
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