Organization
JAM LLC
Active
Other names
JAM LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH A THOMPSON LCPC (THERAPIST)
(240) 507-2634
Entity
Organization
Contact information
Practice address
12809 10TH ST, BOWIE, MD 20720-3652
(240) 507-2634
Mailing address
PO BOX 6111, LARGO, MD 20792-6111
(240) 507-2634
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
LC3682
MD
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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