Individual
JENNIFER LEO STINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2603 N ROLLING RD STE 301-302, WINDSOR MILL, MD 21244-1975
(410) 298-4642
Mailing address
1 MIDSUMMER CT, REISTERSTOWN, MD 21136-4539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC8065
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LC8065
—
MD
Enumeration date
01/05/2019
Last updated
01/05/2019
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