Individual
JOLENE UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC-ASSOCIATE
Contact information
Practice address
4960 WALKING STICK RD APT O, ELLICOTT CITY, MD 21043-8058
(512) 627-1024
Mailing address
4960 WALKING STICK RD APT O, ELLICOTT CITY, MD 21043-8058
(512) 627-1024
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
87828
TX
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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