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Individual

JOSEPH ESSEX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4639 FALLS RD, BALTIMORE, MD 21209-4914
(202) 519-4822
Mailing address
4639 FALLS RD, BALTIMORE, MD 21209-4914

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LGP11976
MD
101YM0800X
Mental Health Counselor
Primary
LGP11976
MD
101YP2500X
Professional Counselor
LGP11976
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1811452279
TYPE II NPI
MD
Enumeration date
09/30/2021
Last updated
09/30/2021
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