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Ms. Jacqueline Dale Grantland, LCPC,NCC
Mental Health Counselor in Lexington Park, Maryland
NPI 1316905524

Jacqueline Dale Grantland is a Mental Health Counselor based in Lexington Park, MD and is specialized in Mental Health. Jacqueline Dale Grantland practices in Lexington Park, MD and has the professional credentials of LCPC,NCC. The NPI Number for Jacqueline Dale Grantland is 1316905524 and holds a License No. 5199 (Maryland).

The current practice location address for Jacqueline Dale Grantland is 22776 Three Notch Rd Ste 210, Lexington Park, MD and can be reached out via phone at 301-866-6333 and via fax at 240-718-1906.

Location: 22776 Three Notch Rd Ste 210, Lexington Park, MD, 20653-1662
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Provider Profile Details
NPI Number
1316905524
Provider Name
Jacqueline Dale Grantland
Credential
LCPC,NCC
Provider Entity Type
Individual
Gender
Female
Address
22776 Three Notch Rd Ste 210, Lexington Park, MD, 20653-1662
Phone Number
301-866-6333
Fax Number
240-718-1906
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6103219 05 NC
058356100 05 MD
institution
Provider Business Practice Location Address Details
Address
22776 Three Notch Rd Ste 210
City
State
Zip
20653-3370
Phone Number
301-866-6333
Fax Number
240-718-1906
person
Provider Business Mailing Address Details
Address
22776 Three Notch Rd Ste 210
City
State
Zip
20653-3370
Phone Number
301-866-6333
Fax Number
240-718-1906
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5199 (North Carolina)
Definition
Definition to come...
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