Individual
JENNIFER MITTLER COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW C
Contact information
Practice address
15701 CRABBS BRANCH WAY, ROCKVILLE, MD 20855-2634
(301) 251-8965
(301) 251-0136
Mailing address
15701 CRABBS BRANCH WAY, ROCKVILLE, MD 20855-2634
(301) 251-8965
(301) 251-0136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10027
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
532700800
—
MD
01
—
77260030
CAREFIRST BCBS
—
Enumeration date
01/29/2007
Last updated
10/28/2021
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