Individual provider · Type 1 NPI

Madison ST John

Mental Health Counselor · Glen Burnie, MD

NPI number 1831841980 Active

Practice location

7310 Governor Ritchie Hwy Ste 1009
Glen Burnie, MD 21061-3398

Call (410) 768-5988 Map

Mailing address

133 S Prospect Ave
Catonsville, MD 21228-3578

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLC14657 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1831841980

Madison ST John's National Provider Identifier is 1831841980, issued on Jan 20, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Glen Burnie, MD. The record was last updated on Dec 17, 2024.