Doctor Name: | MR. HIRAM JENNINGS |
NPI Number: | 1710294780 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LGPC |
License Number: | LGP142 |
Business Practice Address: | 3102 Floral Park Rd Clinton, MD - 207359665 |
Business Phone Number: | 3012922778 |
Business Fax Number: | 3012920275 |
Mailing Address: | 12609 Sholton St, UPPER MARLBORO |
State: | MD |
Postal Code: | 207741710 |
Phone Number: | 3012181752 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2010 |
NPI Last Update Date: | 09/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LGP142 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |