Provider Demographics
NPI:1700417847
Name:AUMILLER, JOSEE
Entity Type:Individual
Prefix:
First Name:JOSEE
Middle Name:
Last Name:AUMILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JOSEE
Other - Middle Name:
Other - Last Name:JENKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LGPC
Mailing Address - Street 1:7500 GREENWAY CENTER DR STE 203
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3531
Mailing Address - Country:US
Mailing Address - Phone:240-614-2177
Mailing Address - Fax:
Practice Address - Street 1:7500 GREENWAY CENTER DR STE 203
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3531
Practice Address - Country:US
Practice Address - Phone:240-614-2177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-28
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC13536101YM0800X
MDLGP11458101YM0800X
OHC.2103099101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHC.2103099OtherCOUNSELOR ID OHIO
MDLGP11458OtherCOUNSELOR ID MARYLAND