Provider Demographics
NPI:1831990084
Name:HOWARD, JENNIFER S (M ED, MS, LGPC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:S
Last Name:HOWARD
Suffix:
Gender:
Credentials:M ED, MS, LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 LIBERTY RD STE 195
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-7955
Mailing Address - Country:US
Mailing Address - Phone:410-259-3850
Mailing Address - Fax:
Practice Address - Street 1:1213 LIBERTY RD STE 195
Practice Address - Street 2:
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-7955
Practice Address - Country:US
Practice Address - Phone:410-259-3850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP16275101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health