JAMIE LICHTY

CUMBERLAND, MD
NPI1467990440
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  SC0109)
Enumeration Date2017-02-09
Last Update Date2017-02-09
Business Address
-- JAMIE LICHTY CSCAD
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502-8339
Phone number: 301-777-2290
Mailing Address
-- JAMIE LICHTY CSCAD
10102 COUNTRY CLUB RD SE
CUMBERLAND, MD 21502-8339
Phone number: 301-777-2290