person
Jacquetta Henry, ADT
Addiction (Substance Use Disorder) Counselor in Baltimore, Maryland
NPI 1528719507

Jacquetta Henry is an Addiction (Substance Use Disorder) Counselor based in Baltimore, MD and is specialized in Addiction (Substance Use Disorder). Jacquetta Henry practices in Baltimore, MD and has the professional credentials of ADT. The NPI Number for Jacquetta Henry is 1528719507 and holds a License No. (Maryland).

The current practice location address for Jacquetta Henry is 3455 Wilkens Ave Ste Ll20, Baltimore, MD and can be reached out via phone at 410-646-6970 and via fax at 410-644-5609.

Location: 3455 Wilkens Ave Ste Ll20, Baltimore, MD, 21229-5203
person
Provider Profile Details
NPI Number
1528719507
Provider Name
Jacquetta Henry
Credential
ADT
Provider Entity Type
Individual
Gender
Female
Address
3455 Wilkens Ave Ste Ll20, Baltimore, MD, 21229-5203
Phone Number
410-646-6970
Fax Number
410-644-5609
Provider Enumeration Date
01/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3455 Wilkens Ave Ste Ll20
City
State
Zip
21229-5203
Phone Number
410-646-6970
Fax Number
410-644-5609
person
Provider Business Mailing Address Details
Address
3455 Wilkens Ave Ste Ll20
City
State
Zip
21229-5203
Phone Number
410-646-6970
Fax Number
410-644-5609
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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