Individual ProviderKadijah KempCounselorBehavioral Health & Social Service ProvidersPractice Address2905 Mitchellville Rd Ste 112, Bowie, MD 20716-1321(301) 298-9822(646) 335-6191PECOS EnrollmentBased on the most recent information from CMS, provider Kadijah Kemp does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1245066604Provider TypeIndividualFull NameKemp, KadijahCredentialLGPCGenderFemaleSole ProprietorYesEnumeration Date9/12/2024Last Updated9/12/2024Contact InformationPractice LocationPractice Address2905 Mitchellville Rd Ste 112, Bowie, MD 20716-1321Phone(301) 298-9822FaxUnlisted FaxMailing LocationMailing Address10516 Joyceton Dr, Upper Marlboro, MD 20774-1332Phone(646) 335-6191FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLGP13647Maryland