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Individual

DR. JOHARI MAKEBA MASSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., M.S., PH.D.

Contact information

Practice address
2020 RUSSELL AVE, GWYNN OAK, MD 21207-5219
(646) 246-9655
(410) 944-6290
Mailing address
2513 N ROLLING RD UNIT 47071, WINDSOR MILL, MD 21244-7603
(443) 272-5347
(410) 944-6290

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TA0400X
Addiction (Substance Use Disorder) Psychologist
05339
MD
103TC0700X
Clinical Psychologist
019895
NY
103TC0700X
Clinical Psychologist
Primary
05339
MD
103TC2200X
Clinical Child & Adolescent Psychologist
05339
MD

Other

Enumeration date
08/31/2007
Last updated
02/28/2024
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