Provider Demographics
NPI:1831472240
Name:JAHRLING, CHRISTINE (LGPC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:JAHRLING
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21716 GLENDALOUGH RD
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20882-4862
Mailing Address - Country:US
Mailing Address - Phone:301-538-0999
Mailing Address - Fax:
Practice Address - Street 1:21716 GLENDALOUGH RD
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20882-4862
Practice Address - Country:US
Practice Address - Phone:301-538-0999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP4056101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor