Whalio Doctors

NPI 1386201275

Jason Jesse Johnson, BHP

Practitioner Physical Disabilities Residential Treatment Facility Baltimore, MD

Practice location

Address
1618 Sherwood Ave, Baltimore, MD 21239-2410
Phone
(410) 980-4761

Registered specialties (9)

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

Registry record

NPI
1386201275
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 May 2019
Record last updated
17 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.