Provider Demographics
NPI:1750556577
Name:PLUMHOFF, JORDAN ELIZABETH
Entity type:Individual
Prefix:MS
First Name:JORDAN
Middle Name:ELIZABETH
Last Name:PLUMHOFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1726 KILLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-1807
Mailing Address - Country:US
Mailing Address - Phone:410-296-1688
Mailing Address - Fax:
Practice Address - Street 1:500 N ROLLING RD
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4134
Practice Address - Country:US
Practice Address - Phone:410-869-7240
Practice Address - Fax:410-869-7244
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health