Individual
JANSEN JUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
1025 MEMORIAL DR, OAKLAND, MD 21550-4343
(301) 334-7670
(301) 334-7671
Mailing address
1025 MEMORIAL DR, OAKLAND, MD 21550-4343
(301) 334-7670
(301) 334-7671
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCA2245
MD
Other
Enumeration date
04/29/2015
Last updated
05/09/2016
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