Organization
JEMS COUNSELING AND CLINICAL SUPERVISION SERVICES LLC
Active
Other names
JEMS Counseling and Clinical Supervision Services LLC, Jemma Chong Qui
Organization subpart
No
Provider details
NPI number
Authorized official
JEMMA CHONG CHONG QUI MA, LCADC (OWNER)
(410) 303-9229
Entity
Organization
Contact information
Practice address
5224 HARFORD RD STE B, BALTIMORE, MD 21214-2694
(410) 303-9229
Mailing address
5224 HARFORD RD STE B, BALTIMORE, MD 21214-2694
(410) 303-9229
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063066397
—
MD
05
—
1114261450
—
MD
Enumeration date
07/25/2019
Last updated
07/26/2019
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