| NPI | 1740620244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTENA JENKINS Licensed Clinical Professional Coun 240-603-7283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MD LC4937) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD LC4937) |
| 101YP2500X Counselor, Professional (Licence: MD LC4937) | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |