Individual
MADISON ST JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7310 GOVERNOR RITCHIE HWY STE 1009, GLEN BURNIE, MD 21061-3398
(410) 768-5988
Mailing address
133 S PROSPECT AVE, CATONSVILLE, MD 21228-3578
(443) 805-9853
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC14657
MD
Other
Enumeration date
01/20/2022
Last updated
12/17/2024
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