Chong Qui, Jemma
Chong Qui, Jemma is an sole proprietor health care provider with primary practice located at 5005 Morello Rd , Baltimore MD 21214-2121. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Chong Qui, Jemma can be contacted via phone (443) 530-6533.Contact Information
Primary practice address
5005 Morello Rd
Baltimore MD 21214-2121
Phone: (443) 530-6533
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LCADC | Maryland |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LCA390 | Maryland |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCADC | Maryland |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCADC | Maryland |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LCADC | Maryland |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1114261450 |
|---|---|
| LBN Legal business name | Chong Qui, Jemma |
| Credentials | LCADC, MA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 26th, 2012 |
| Last updated | Apr 19th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114261450 | NPPES |
| Maryland | MEDICAID | 1063066397 | |
| Maryland | MEDICAID | 1114261450 |
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