# JUSPEN BEHAVIORAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JUSPEN BEHAVIORAL HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134893985
- **Legal business name:** JUSPEN BEHAVIORAL HEALTH
- **Authorized official:** JUDIE JOHNSON (CEO)
- **Authorized official phone:** (301) 704-1973

## Contact information

- **Practice address:** 4710 AUTH PLACE, SUITE 410, CAMP SPRING, MD 20746-1373
- **Practice address phone:** (301) 704-1973
- **Mailing address:** 4710 AUTH PLACE, SUITE 410, CAMP SPRING, MD 20746-1373
- **Mailing address phone:** (301) 704-1973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2021
- **Last updated:** 08/05/2021