Jeanine Adair, LGPC

Individual provider Active NPI Professional Counselor · Towson, MD

NPI 1982102182 · NPPES record last updated Jan 23, 2018

Key facts

NPI
1982102182
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LGP6584 (MD)
Practice address
1010 Dulaney Valley Rd
Towson, MD 21204-2702
Phone
(410) 593-9988
NPI assigned
Jan 23, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LGP6584MDMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGP6584 MD Yes

Addresses

Primary practice location

1010 Dulaney Valley Rd
Towson, MD 21204-2702

Mailing address

718 Leister Dr
Timonium, MD 21093-7472
Phone (410) 308-0928

Other providers in Towson, MD

All providers in Towson, MD · Professional Counselor in Maryland

Sources for this page

Verify at the official NPI Registry.