Provider Demographics
NPI:1891431888
Name:KASHIMA, JAMIE (LCPC)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:KASHIMA
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 1:2912 WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1524
Mailing Address - Country:US
Mailing Address - Phone:410-921-3128
Mailing Address - Fax:
Practice Address - Street 1:2912 WALNUT AVE
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-1524
Practice Address - Country:US
Practice Address - Phone:410-804-5552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-11
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP12600101YM0800X
101YM0800X
MDLC14983101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health