Individual
MRS. JOAN MESMERINGER JURKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3313 PAPER MILL RD, SUITE 5, PHOENIX, MD 21131-1465
(410) 790-9604
Mailing address
3313 PAPER MILL RD, SUITE 5, PHOENIX, MD 21131-1465
(410) 790-9604
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC0271
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACO998
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002627
BEACON HEALTH
MD
01
—
152866
MHNET
MD
01
—
2282454
CIGNA
MD
05
—
446530000
—
MD
01
—
R8950001
CAREFIRST BCBS
MD
Enumeration date
09/11/2006
Last updated
11/30/2016
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