MEDICARE: MR. FRANCISCO XAVIER CUMMINGS MHS LCADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCA051	MD
2	106H00000X	Marriage & Family Therapist	LCA051	MD

General Provider Information

NPI Number	:	1184766412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRANCISCO XAVIER CUMMINGS MHS LCADC

Provider Business Mailing Address
First Line	:	1921 E BALTIMORE ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21231-1902
Country	:	US
Telephone Number	:	443-869-2517
Fax Number	:

Provider Business Practice Location Address
First Line	:	1921 E BALTIMORE ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21231-1902
Country	:	US
Telephone Number	:	443-869-2517
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	11/07/2007

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