Organization
JLG COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYNE GORDON LCPC (LCPC/OWNER)
(301) 512-1456
Entity
Organization
Contact information
Practice address
584 BELMAWR PLACE, MILLERSVILLE, MD 21108
(301) 512-1456
Mailing address
584 BELMAWR PLACE, MILLERSVILLE, MD 21108
(301) 512-1456
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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