| Essential Guidance | |
|
111 Warren Rd # 14b15b Cockeysville MD 21030-2429 | |
| (443) 500-1660 | |
| Not Available |
| Full Name | Essential Guidance |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 111 Warren Rd # 14b15b, Cockeysville, Maryland |
| Authorized Official Name and Position | Raquel Johnson (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4435001660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Guidance 1826 Pennsylvania Ave Unit 12707 Baltimore MD 21217-7534 Ph: (443) 500-1660 | Essential Guidance 111 Warren Rd # 14b15b Cockeysville MD 21030-2429 Ph: (443) 500-1660 |
| NPI Number | 1003657321 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003657321 | NPI | - | NPPES |
| 1518552595 | Medicaid | MD | |
| 1831812445 | Medicaid | MD | |
| 1003353798 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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