Individual
JEANETTE JOHNSON GAITHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5927 SUNSET AVE, GWYNN OAK, MD 21207-5037
(410) 805-2362
Mailing address
5927 SUNSET AVE, GWYNN OAK, MD 21207-5037
(410) 805-2362
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3444
MD
Other
Enumeration date
06/26/2021
Last updated
06/26/2021
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