Individual
MRS. JERMAINE GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LPC
Contact information
Practice address
9640 MARLBORO PIKE, SUITE 202, UPPER MARLBORO, MD 20772
(240) 620-4421
Mailing address
9901 RODIN COURT, UPPER MARLBORO, MD 20772
(240) 620-4421
(301) 420-0793
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC4062
MD
101YP2500X
Professional Counselor
Primary
PRC14258
DC
Other
Enumeration date
12/29/2012
Last updated
06/10/2021
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