Individual
KRISTAN COURTINEY M JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
22 W PENNSYLVANIA AVE STE 414, TOWSON, MD 21204-5003
(443) 377-3605
Mailing address
22 W PENNSYLVANIA AVE STE 414, TOWSON, MD 21204-5003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC14622
MD
Other
Enumeration date
12/07/2024
Last updated
12/07/2024
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