Provider Demographics
NPI:1578293874
Name:ZIEGLER, JACQUELYN MARIE JONES
Entity Type:Individual
Prefix:
First Name:JACQUELYN
Middle Name:MARIE JONES
Last Name:ZIEGLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8205 MAXINE CIR
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1946
Mailing Address - Country:US
Mailing Address - Phone:443-452-7537
Mailing Address - Fax:
Practice Address - Street 1:8205 MAXINE CIR
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-1946
Practice Address - Country:US
Practice Address - Phone:443-452-7537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-10
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional