Jacqueline Kester Blair, M.ED., LGMFT
Individual provider Active NPI Marriage & Family Therapist · Owings Mills, MD
NPI 1447596770 · NPPES record last updated Dec 13, 2012
Key facts
- NPI
- 1447596770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LGM447 (MD)
- Practice address
- 20 Pleasant Ridge Dr
Suite a
Owings Mills, MD 21117-2560 - Phone
- (443) 928-3298
- Fax
- (410) 902-5941
- NPI assigned
- Dec 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGM447 | MD | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Marriage & Family Therapist | Current | Accepting new patients |
Interoperability endpoints
- jacquelineblair@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LGM447 | MD | Yes |
Addresses
Primary practice location
20 Pleasant Ridge Dr
Suite a
Owings Mills, MD 21117-2560
Mailing address
20 Pleasant Ridge Dr
Suite a
Owings Mills, MD 21117-2560
Phone (443) 928-3298
Other providers in Owings Mills, MD
- Andre Bisimwa
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- Michelle Black
- Blackstar Solutions LLC
- Merlene J. Blair-Brown
- Leslie Y Bland
- David E Blanton
- Blessings Heart
- Susan Bloom
- Shannon Michelle Blount
All providers in Owings Mills, MD · Marriage & Family Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.