Individual
JENNIFER COSTA MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 KENILWORTH DR STE 416, TOWSON, MD 21204-2148
(443) 451-5122
Mailing address
1122 KENILWORTH DR STE 416, TOWSON, MD 21204-2148
(443) 451-5122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/30/2012
Last updated
09/04/2025
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