Individual
JACQUELYN NED MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
6001 MONTROSE RD STE 102, ROCKVILLE, MD 20852-4872
(301) 896-6610
Mailing address
2 PLATEAU PL UNIT H, GREENBELT, MD 20770-3706
(443) 676-1184
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C-4381
MN
Other
Enumeration date
08/04/2006
Last updated
09/14/2018
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