Individual
JEMMA CHONG QUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC, MA
Contact information
Practice address
5005 MORELLO RD, BALTIMORE, MD 21214-2121
(443) 530-6533
Mailing address
5005 MORELLO RD, BALTIMORE, MD 21214-2123
(410) 303-9229
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LCA390
MD
101Y00000X
Counselor
LCADC
MD
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCADC
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
LCADC
MD
101YP2500X
Professional Counselor
LCADC
MD
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063066397
—
MD
05
—
1114261450
—
MD
Enumeration date
11/26/2012
Last updated
04/19/2024
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