Provider Demographics
NPI:1649749185
Name:SAUERS, JENNIFER WYNN (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:WYNN
Last Name:SAUERS
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 1:7009 JEWELED HAND CIR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-4904
Mailing Address - Country:US
Mailing Address - Phone:443-564-9136
Mailing Address - Fax:
Practice Address - Street 1:2700 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21227-3115
Practice Address - Country:US
Practice Address - Phone:667-600-3985
Practice Address - Fax:667-600-4065
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC8637101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional