Organization
JACOB'S LADDER YOUTH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARRIEL JARED JORDAN SR. (DIRECTOR)
(240) 691-3619
Entity
Organization
Contact information
Practice address
1616 SARATOGA CT, FORT WASHINGTON, MD 20744-4186
(240) 691-3619
Mailing address
1616 SARATOGA CT, FORT WASHINGTON, MD 20744-4186
(240) 691-3619
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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