# J M CREATIVE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790329688
- **Authorized official:** DR. JOHN NDAMBUKI PH.D (DIRECTOR)
- **Authorized official phone:** (301) 538-8463

## Contact information

- **Practice address:** 6916 LAMONT DR, LANHAM, MD 20706-4607
- **Practice address phone:** (301) 538-8463
- **Mailing address:** 6916 LAMONT DR, LANHAM, MD 20706-4607
- **Mailing address phone:** (301) 538-8463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 11/04/2019
- **Last updated:** 11/04/2019