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Individual

MRS. DIANA M JENNINGS-POLLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC, LCPC

Contact information

Practice address
2650 QUARRY LAKE DR STE 200, BALTIMORE, MD 21209-3756
(253) 527-1284
Mailing address
2650 QUARRY LAKE DR STE 200, BALTIMORE, MD 21209-3756
(253) 527-1284
(480) 383-6454

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC4800
MD
101YM0800X
Mental Health Counselor
LCP010927
GA
101YM0800X
Mental Health Counselor
MH9243
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12647990
MD
01
1346490786
INSURANCE
MD
05
1346490786
MD
05
5256
FL
05
LC4800
MD
Enumeration date
09/23/2008
Last updated
12/11/2024
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