Provider Demographics
NPI:1871633644
Name:CARY, JENNIFER NOEL (LCPC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:NOEL
Last Name:CARY
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 1:3566 LOWLEN CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-3855
Mailing Address - Country:US
Mailing Address - Phone:443-413-3928
Mailing Address - Fax:
Practice Address - Street 1:9841 BROKEN LAND PKWY STE 211
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3068
Practice Address - Country:US
Practice Address - Phone:443-708-5856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC-1955101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0701006080OtherCOMMONWEALTH OF VA BOARD OF COUNSELING
MDLC-1955OtherBOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS
DCPRC14625OtherDOH, HEALTH REGULATION AND LICENSING ADMIN, BOARD OF PROFESSIONAL COUNSELING