Jacquet, Mary Gerald
Jacquet, Mary Gerald is an individual health care provider with primary practice located at 8240 Professional Place, Suite 200 Suite 200 , Landover MD 20785. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jacquet, Mary Gerald can be contacted via phone (301) 577-4440.Contact Information
Primary practice address
8240 Professional Place, Suite 200 Suite 200
Landover MD 20785
Phone: (301) 577-4440
Fax: (301) 577-4123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 13001 | Maryland |
Profile Details
| NPI number | 1194915702 |
|---|---|
| LBN Legal business name | Jacquet, Mary Gerald |
| Credentials | LCSWC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2007 |
| Last updated | May 23rd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194915702 | NPPES |
| Maryland | MEDICAID | 404683800 |
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