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Individual

JENNIFER L DONALDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSC-AD

Contact information

Practice address
122 LANGLEY RD N, GLEN BURNIE, MD 21060-6531
(410) 222-1809
Mailing address
1603 COLESBURY PL, JESSUP, MD 20794-4019

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC3251
MD

Other

Enumeration date
12/28/2023
Last updated
01/08/2024
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