Harvesting Hope Youth And Family Wellness | |
204 Cedar St Ste 102 Cambridge MD 21613-2395 | |
(443) 351-4846 | |
Not Available |
Full Name | Harvesting Hope Youth And Family Wellness |
---|---|
Speciality | Counselor - Professional |
Location | 204 Cedar St, Cambridge, Maryland |
Authorized Official Name and Position | Omeaka Jackson (OWNER/PSYCHOTHERAPIST) |
Authorized Official Contact | 4433514846 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Harvesting Hope Youth And Family Wellness 204 Cedar St Ste 102 Cambridge MD 21613-2395 Ph: (443) 351-4846 | Harvesting Hope Youth And Family Wellness 204 Cedar St Ste 102 Cambridge MD 21613-2395 Ph: (443) 351-4846 |
NPI Number | 1285189415 |
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Provider Enumeration Date | 08/17/2016 |
Last Update Date | 08/17/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285189415 | NPI | - | NPPES |
0723835 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LC5086 (Maryland) | Primary |
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