Organization
HEALTHY MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOBS JACQUETTE (MENTAL HEALTH THERAPIST)
(240) 468-8476
Entity
Organization
Contact information
Practice address
100 WEST RD STE 300, TOWSON, MD 21204-2370
(240) 468-8476
Mailing address
5214 DAYBROOK CIR APT 348, ROSEDALE, MD 21237-5043
(240) 468-8476
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
07/24/2020
Last updated
08/10/2020
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