Individual
JACQUELINE E SOMERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9811 MALLARD DR, 219, LAUREL, MD 20708-3143
(301) 266-3960
(301) 446-0131
Mailing address
PO BOX 1367, GREENBELT, MD 20768-1367
(301) 266-3960
(301) 446-0131
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2025
MD
Other
Enumeration date
05/24/2006
Last updated
10/03/2007
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