Organization
JENNY GREY LCPC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GREY LCPC (EXECUTIVE OFFICER)
(240) 793-5295
Entity
Organization
Contact information
Practice address
208 SANDSTONE DR, WALKERSVILLE, MD 21793-9146
(240) 793-5295
Mailing address
208 SANDSTONE DR, WALKERSVILLE, MD 21793-9146
(240) 793-5295
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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