Individual
JAIMEY MCCLURKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9030 RTE 108 STE A, COLUMBIA, MD 21045-1990
(410) 740-1901
(410) 740-8237
Mailing address
PO BOX 412, SEVERN, MD 21144-0412
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC9580
MD
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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