Provider Demographics
NPI:1992009146
Name:HINTON, SHARON (CAC-AD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:HINTON
Suffix:
Gender:F
Credentials:CAC-AD
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:CRUMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5225 YORK RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-4256
Mailing Address - Country:US
Mailing Address - Phone:410-467-6040
Mailing Address - Fax:410-235-8807
Practice Address - Street 1:5225 YORK RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-4256
Practice Address - Country:US
Practice Address - Phone:410-467-6040
Practice Address - Fax:410-235-8807
Is Sole Proprietor?:No
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC1020101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)