Individual
FARRAH TYKISIA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
14201 LAUREL PARK DR STE 106, LAUREL, MD 20707-5203
(240) 360-4765
(240) 360-4767
Mailing address
8315 CROOKED PINE CT, GAITHERSBURG, MD 20877-3793
(404) 909-2670
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP10346
MD
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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