Mary Jefferson LCPC

NPI 1699966929 - Counselor - 101YM0800X

NPI Details
NPI 1699966929
Gender Female
Enumeration Date 08/01/2007
Last Updated 08/01/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
8109 HARFORD RD
BALTIMORE MD, 21234-9205, US
Phone (410) 248-0257
Fax
Business Location
8109 HARFORD RD
BALTIMORE MD, 21234-9205, US
Phone (410) 248-0257
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Maryland
License Number LC2071
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According to our database, Mrs. Mary Jefferson LCPC NPI is 1699966929, taxonomy code is 101YM0800X and license number is LC2071, license state is located at Maryland. Mary Jefferson LCPC physically located at 8109 Harford Rd, Baltimore MD, 21234-9205. NPI Number Mary Jefferson LCPC has the Individual type.

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1699966929 NPI number is provided on an as is basis without warranty of any kind. 1699966929 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Jefferson LCPC are for informational purposes only.