Individual
MRS. JENNIFER MCLUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17610 BASALT WAY, HAGERSTOWN, MD 21740-2058
(443) 306-3978
Mailing address
13114 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-2741
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
MD
101YM0800X
Mental Health Counselor
Primary
LC8298
MD
Other
Enumeration date
05/06/2008
Last updated
09/11/2020
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