Organization
LIVE FREE THERAPY LLC
Active
Other names
Live Free Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JM JENKINS (OWNER)
(443) 313-6350
Entity
Organization
Contact information
Practice address
10632 LITTLE PATUXENT PKWY STE 309, COLUMBIA, MD 21044-6294
(443) 313-6350
(443) 283-4136
Mailing address
10632 LITTLE PATUXENT PKWY STE 309, COLUMBIA, MD 21044-6294
(443) 313-6350
(443) 283-4136
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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