Provider Demographics
NPI:1659808400
Name:FARMER, JOLENE (LCPC)
Entity Type:Individual
Prefix:
First Name:JOLENE
Middle Name:
Last Name:FARMER
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 1:7008 ALBANY AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BEACH
Mailing Address - State:MD
Mailing Address - Zip Code:20714-9604
Mailing Address - Country:US
Mailing Address - Phone:410-353-6588
Mailing Address - Fax:
Practice Address - Street 1:WAYPOINT WELLNESS
Practice Address - Street 2:166 DEFENSE HIGHWAY, SUITE 203
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401
Practice Address - Country:US
Practice Address - Phone:410-684-3806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP7831101YP2500X
MD10558101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional