Individual
JAALAH-AI HEUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4 POMONA W APT 10, PIKESVILLE, MD 21208-2950
(410) 900-9064
Mailing address
4 POMONA W APT 10, PIKESVILLE, MD 21208-2950
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC11919
MD
Other
Enumeration date
09/30/2019
Last updated
09/17/2021
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