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Organization
URBAN THERAPY
Active
Organization
URBAN THERAPY
Active
Other names
Ayisha Jones, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AYISHA JONES KEITH LICSW (CLINICAL SOCIAL WORKER)
(240) 741-5096
Entity
Organization
Contact information
Practice address
16701 MELFORD BLVD STE 400, BOWIE, MD 20715-4411
(240) 741-5096
Mailing address
9492 PEP RALLY LN, WALDORF, MD 20603-3759
(301) 339-4880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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