Organization
J DANIELS PSYCHTHERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNENE DANIELS LCSW-C (PRES.)
(301) 375-9220
Entity
Organization
Contact information
Practice address
6798 AMHERST RD, BRYANS ROAD, MD 20616-3046
(301) 375-9220
Mailing address
6798 AMHERST RD, BRYANS ROAD, MD 20616-3046
(301) 375-9220
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
03791
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003728
VALUE OPTIONS
MD
01
—
1669470894
TRICARE/HNFS
MD
01
—
36910005
CAREFIRST BCBS
MD
01
—
528447
MAMSI
MD
01
—
582M906F
MEDICARE
MD
05
—
621210700
—
MD
Enumeration date
04/29/2015
Last updated
08/14/2015
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