Individual
JENNIFER DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCPC, CAC-I
Contact information
Practice address
4810 ELLICOTT WOODS LN, ELLICOTT CITY, MD 21043-6765
(240) 753-5792
Mailing address
4810 ELLICOTT WOODS LN, ELLICOTT CITY, MD 21043-6765
(240) 753-5792
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC7727
MD
101YM0800X
Mental Health Counselor
PRC14339
DC
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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