Provider Demographics
NPI:1952061467
Name:JAMES-HENRY, ANNE-MARIE LINDA (MFT)
Entity Type:Individual
Prefix:MRS
First Name:ANNE-MARIE
Middle Name:LINDA
Last Name:JAMES-HENRY
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9120 TUMBLEWEED RUN APT B
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1651
Mailing Address - Country:US
Mailing Address - Phone:443-422-8805
Mailing Address - Fax:
Practice Address - Street 1:9120 TUMBLEWEED RUN
Practice Address - Street 2:APT B
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723
Practice Address - Country:US
Practice Address - Phone:301-592-7244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-23
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGM855101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDJ525067522376OtherSTATE ID