Individual
MS. SALLYANN JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RN CS P
Contact information
Practice address
22 LINWOOD AVE, BEL AIR, MD 21014-3951
(410) 682-6269
(410) 576-1268
Mailing address
215 LANASA LN, BALTIMORE, MD 21230-4143
(410) 682-6269
(410) 576-1268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R052595
MD
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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