Johnson, Jason Jesse

Johnson, Jason Jesse is an sole proprietor health care provider with primary practice located at 1618 Sherwood Ave , Baltimore MD 21239-2410. He recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Agencies / Home Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities is his primary health care specialty. Johnson, Jason Jesse can be contacted via phone (410) 980-4761.

Contact Information

Primary practice address
1618 Sherwood Ave Baltimore MD 21239-2410
Phone: (410) 980-4761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X Maryland
Other Service Providers / Peer Specialist 175T00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Agencies / Home Health 251E00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X

Profile Details

NPI number 1386201275
LBN Legal business name Johnson, Jason Jesse
Credentials BHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2019
Last updated Oct 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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