| Mental Jog Therapeutic Services, Llc | |
|
3317 Mcelderry St Baltimore MD 21205-2820 | |
| (443) 597-5027 | |
| Not Available |
| Full Name | Mental Jog Therapeutic Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3317 Mcelderry St, Baltimore, Maryland |
| Authorized Official Name and Position | Malik Devon Johnson (OWNER/THERAPIST) |
| Authorized Official Contact | 4435975027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Jog Therapeutic Services, Llc 3317 Mcelderry St Baltimore MD 21205-2820 Ph: (443) 597-5027 | Mental Jog Therapeutic Services, Llc 3317 Mcelderry St Baltimore MD 21205-2820 Ph: (443) 597-5027 |
| NPI Number | 1316647431 |
|---|---|
| Provider Enumeration Date | 03/07/2023 |
| Last Update Date | 03/07/2023 |
| Certification Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316647431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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