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NPI Code Detail

MEDICARE: YOUR HEALTH NETWORK, INC.

MEDICARE: YOUR HEALTH NETWORK, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659769024
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOUR HEALTH NETWORK, INC.
Provider Business Mailing Address
First Line : 3000 FALLS RD
Second Line : SUITE 1
City : BALTIMORE
State : MD
Zip : 21211-2474
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9710 PATUXENT WOODS DR
Second Line : SUITE 200
City : COLUMBIA
State : MD
Zip : 21046-1526
Country : US
Telephone Number : 301-575-8080
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JESSICA L KOHNEN
Credential :
Telephone Number : 443-451-4973
Provider Enumeration Date : 01/07/2015
Last Update Date : 01/07/2015

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Directions to “YOUR HEALTH NETWORK, INC. ” Practice Location

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