Individual
ELIZABETH JAKUBIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 W CHESAPEAKE AVE STE L12, TOWSON, MD 21204-4411
(410) 212-8875
Mailing address
115 YORKLEIGH RD, TOWSON, MD 21204-7512
(410) 212-8875
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP8361
MD
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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