| Jhu-cancer Counseling/behaviorial Health | |
|
600 N Wolfe St Baltimore MD 21287-0005 | |
| (410) 955-5000 | |
| Not Available |
| Full Name | Jhu-cancer Counseling/behaviorial Health |
|---|---|
| Speciality | Counselor - Professional |
| Location | 600 N Wolfe St, Baltimore, Maryland |
| Authorized Official Name and Position | Shavonda L Keating (SR PRODUCTION UNIT MGR) |
| Authorized Official Contact | 4109336430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jhu-cancer Counseling/behaviorial Health 9910 Franklin Square Dr Ste 2110 Baltimore MD 21236-4902 Ph: (410) 933-6423 | Jhu-cancer Counseling/behaviorial Health 600 N Wolfe St Baltimore MD 21287-0005 Ph: (410) 955-5000 |
| NPI Number | 1417431222 |
|---|---|
| Provider Enumeration Date | 09/18/2018 |
| Last Update Date | 03/08/2021 |
| Certification Date | 03/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417431222 | NPI | - | NPPES |
| 525015305 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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