Individual
MRS. JENNIFER UNGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAC-AD
Contact information
Practice address
2012 S TOLLGATE RD STE 200, BEL AIR, MD 21015-5902
(443) 464-1009
Mailing address
2012 S TOLLGATE RD STE 200, BEL AIR, MD 21015-5902
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC1573
MD
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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