Individual
NIQUELLE JETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1004 SIMSBURY CT, CROFTON, MD 21114-1661
(301) 326-5145
Mailing address
1004 SIMSBURY CT, CROFTON, MD 21114-1661
(301) 326-5145
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
200001486
DC
Other
Enumeration date
03/16/2023
Last updated
03/17/2023
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