Individual
MS. JILL MARIE PENALOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPAT, CGP
Contact information
Practice address
127 CHESAPEAKE AVE, ANNAPOLIS, MD 21403-2607
(410) 279-3106
Mailing address
127 CHESAPEAKE AVE, ANNAPOLIS, MD 21403-3305
(410) 279-3106
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
ATC022
MD
Other
Enumeration date
09/29/2006
Last updated
06/20/2018
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