Individual
LORI JENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10451 TWIN RIVERS RD, COLUMBIA, MD 21044-2388
(410) 099-7355
(410) 964-1791
Mailing address
4623 FALLS RD, BALTIMORE, MD 21209-4914
(410) 366-1980
(410) 366-8530
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2919
MD
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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