| Jacl & Associates Llc | |
|
15015 Fir St Accokeek MD 20607-9776 | |
| (240) 523-3147 | |
| Not Available |
| Full Name | Jacl & Associates Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 15015 Fir St, Accokeek, Maryland |
| Authorized Official Name and Position | Chevon Mathews-green (CO-OWNER) |
| Authorized Official Contact | 2405233147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacl & Associates Llc 15015 Fir St Accokeek MD 20607-9776 Ph: () - | Jacl & Associates Llc 15015 Fir St Accokeek MD 20607-9776 Ph: (240) 523-3147 |
| NPI Number | 1609646298 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609646298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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