Individual
JEWNA BONITA EHLKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LPC, LPC
Contact information
Practice address
5100 AUTH WAY, SUITLAND, MD 20746-4276
(301) 782-5084
Mailing address
5100 AUTH WAY, SUITLAND, MD 20746-4276
(301) 782-5084
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7692
MD
1041C0700X
Clinical Social Worker
LC7692
MD
Other
Enumeration date
09/18/2017
Last updated
03/13/2024
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