Individual
JENNIFER LYNN CLANCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LGPC
Contact information
Practice address
9515 DEERECO RD STE 306, LUTHERVILLE TIMONIUM, MD 21093-2152
(410) 231-3016
Mailing address
25961 CHAFFEE CT, MECHANICSVILLE, MD 20659-2717
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP11171
MD
101YS0200X
School Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LGP11171
STATE BOARD OF PROFESSIONAL COUNSELORS & THERAPISTS
MD
Enumeration date
10/04/2015
Last updated
08/03/2022
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