Most Relevant Information
Provider Data
| NPI Number: | 1003674219 |
| Provider Name: | ADISON CRIPE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | LGP14911 |
Most Important Dates
| Enumeration Date: | 03/12/2024 |
| Last Updated: | 03/12/2024 |
Provider Practice Location
921 E FORT AVE
BALTIMORE
MD
212305134
Practice Location Phone/Fax
| Phone: | 6676682566 |
| Fax: |
Provider Mailing Location
3448 ROLAND AVE
BALTIMORE
MD
212112426
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |