# JADES COUNSELING AND MENTAL HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891529293
- **Authorized official:** MRS. SARA BURRIS (CREDENTIALER)
- **Authorized official phone:** (443) 350-2092

## Contact information

- **Practice address:** 5914 WINNER AVE, BALTIMORE, MD 21215-3815
- **Practice address phone:** (443) 622-5541
- **Mailing address:** 5914 WINNER AVE, BALTIMORE, MD 21215-3815
- **Mailing address phone:** (443) 622-5541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2024
- **Last updated:** 08/28/2024