Organization
MENTAL JOG THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALIK DEVON JOHNSON LCPC (OWNER/THERAPIST)
(443) 597-5027
Entity
Organization
Contact information
Practice address
3317 MCELDERRY ST, BALTIMORE, MD 21205-2820
(443) 597-5027
Mailing address
3317 MCELDERRY ST, BALTIMORE, MD 21205-2820
(443) 597-5027
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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