Individual
JOCELYN GAINERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
239 N GAY ST, BALTIMORE, MD 21202-4822
(410) 605-0492
(410) 605-0496
Mailing address
239 N GAY ST, BALTIMORE, MD 21202-4822
(410) 605-0492
(410) 605-0496
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC0989
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC0989
DEPARTMENT OF HEALTH AMD MENTAL HYGIENE
MD
Enumeration date
03/29/2016
Last updated
03/29/2016
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