Provider Demographics
NPI:1619107000
Name:GLOVER-KERKVLIET, JANET (LCPC)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:GLOVER-KERKVLIET
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9475 DEERECO ROAD, #206
Mailing Address - Street 2:KERKVLIET COUNSELING SERVICES
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093
Mailing Address - Country:US
Mailing Address - Phone:410-627-2372
Mailing Address - Fax:
Practice Address - Street 1:1055 TAYLOR AVE
Practice Address - Street 2:THE STONE FOUNDATION
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21286-8317
Practice Address - Country:US
Practice Address - Phone:410-296-2004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-20
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLC4447OtherMARYLAND BOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS