| Jenny Grey Lcpc Llc | |
|
208 Sandstone Dr Walkersville MD 21793-9146 | |
| (240) 793-5295 | |
| Not Available |
| Full Name | Jenny Grey Lcpc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 208 Sandstone Dr, Walkersville, Maryland |
| Authorized Official Name and Position | Jenny Grey (EXECUTIVE OFFICER) |
| Authorized Official Contact | 2407935295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenny Grey Lcpc Llc 208 Sandstone Dr Walkersville MD 21793-9146 Ph: (240) 793-5295 | Jenny Grey Lcpc Llc 208 Sandstone Dr Walkersville MD 21793-9146 Ph: (240) 793-5295 |
| NPI Number | 1811543788 |
|---|---|
| Provider Enumeration Date | 08/15/2019 |
| Last Update Date | 08/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811543788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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