| Jodi Wayne, Lcsw-c, Llc | |
|
336 S Main St Ste 2ca Bel Air MD 21014-3978 | |
| (443) 417-8011 | |
| Not Available |
| Full Name | Jodi Wayne, Lcsw-c, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 336 S Main St Ste 2ca, Bel Air, Maryland |
| Authorized Official Name and Position | Johanna Wayne (THERAPIST) |
| Authorized Official Contact | 4434178011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Wayne, Lcsw-c, Llc 121 Briarcliff Ln Bel Air MD 21014-5555 Ph: (443) 417-8011 | Jodi Wayne, Lcsw-c, Llc 336 S Main St Ste 2ca Bel Air MD 21014-3978 Ph: (443) 417-8011 |
| NPI Number | 1528532777 |
|---|---|
| Provider Enumeration Date | 01/21/2019 |
| Last Update Date | 01/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528532777 | NPI | - | NPPES |
| 0347311 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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