Individual
MR. JARED PORTER NESLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED.
Contact information
Practice address
172 THOMAS JOHNSON DR, STE 200, FREDERICK, MD 21702-4402
(301) 694-5896
Mailing address
172 THOMAS JOHNSON DR, STE 200, FREDERICK, MD 21702-4402
(301) 708-1860
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7433037-6004
UT
101YP2500X
Professional Counselor
Primary
LC6790
MD
101YP2500X
Professional Counselor
PC008632
PA
Other
Enumeration date
04/05/2013
Last updated
05/23/2016
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