Individual
JACQUALINE POLYDOROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
322 E ANTIETAM ST STE 101, HAGERSTOWN, MD 21740-5736
(301) 733-2431
Mailing address
20115 PROFESSIONAL BLVD STE 203, HAGERSTOWN, MD 21742-6832
(866) 287-2036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC16950
MD
Other
Enumeration date
11/30/2020
Last updated
12/29/2025
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