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Organization
ST JEROME COUNSELING
Active
Organization
ST JEROME COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY LEE (TREASURER)
(860) 501-0282
Entity
Organization
Contact information
Practice address
5205 43RD AVE, HYATTSVILLE, MD 20781-2001
(860) 501-0282
Mailing address
11001 HIDDEN FOX CT, ELLICOTT CITY, MD 21042-6124
(860) 501-0282
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
NULL
101200000X
Drama Therapist
—
—
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
NULL
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
NULL
101YS0200X
School Counselor
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TS0200X
School Psychologist
—
NULL
103TS0200X
School Psychologist
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
NULL
1041S0200X
School Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
05/23/2026
Last updated
05/23/2026
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