Jade Spears LGPC, NCC - Professional Counselor in Silver Spring, Maryland | ProviderWire

Full Name

Jade Spears LGPC, NCC

NPI Number

1972161180

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/03/2019

Specialties

(Taxonomies)

Name

Professional Counselor

Behavior Technician

Code

101YP2500X

106S00000X

Primary Taxonomy

Yes

No

Licenses

State

Maryland

License Number

LGP12662

Contact
Information

Purpose

Mailing

Location

Address

817 SILVER SPRING AVE STE 401A

817 SILVER SPRING AVE STE 401A

City

Silver Spring

Silver Spring

State

MD

MD

Postal Code

20910-4617

20910-4617

Country

US

US

Telephone Number

(202) 905-2725

(202) 905-2725

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/11/2022

Provider Address

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