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Organization

ONE LIFE ONE LOVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES FREDERICK JOHNSON JR. LCSW-C (MENTAL HEALTH THERAPIST)
(443) 226-6266
Entity
Organization

Contact information

Practice address
1139 SCOTT ST, BALTIMORE, MD 21230-2528
(443) 226-6266
Mailing address
1139 SCOTT ST, BALTIMORE, MD 21230-2528
(443) 226-6266

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
08/23/2021
Last updated
10/05/2021
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