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Individual

MS. KEM JACQUELINE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, MED, CNS, LDN

Contact information

Practice address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050
Mailing address
1111 N CHARLES ST, BALTIMORE, MD 21201-5505
(410) 837-2050

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SC1018
MD
133N00000X
Nutritionist
Primary
DX5837
MD

Other

Enumeration date
04/16/2009
Last updated
06/07/2023
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