Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE KIRSTEN ELLIS, LICSW
Active Sole ProprietorJACQUELINE KIRSTEN ELLIS, LICSW is a Mental Health Counselor healthcare provider located in LANDOVER, Maryland. NPI 1952060188 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · LANDOVER, MD
Registration Details
- NPI Number
- 1952060188
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 15, 2021 (4.6258668312118 yrs)
- Last Updated
- Dec 15, 2021
- License
-
LC50081444 (DC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
721 BAIN DR APT 211LANDOVER, MD, 207855971Browse MD providers · Browse ZIP 20785
- Phone
- 2024892858
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in LANDOVER, MD
| Name | Credential | NPI |
|---|---|---|
| DR. BRUCE EDWARD MCCLURE | PHD, LCPC,NCC | 1649375825 |
| VERA TEBO | CRNP-PMH-BC | 1912273178 |
| MS. LEESHE GRIMES | MS, NCC, LCPC | 1669982633 |
| ANGELA J LEE | — | 1871003707 |
| MS. GLADYS PAYNE | — | 1093226425 |
| MR. MICHAEL ANTHONY FOWLKES | 101YM0800X | 1497226385 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.