Provider Demographics
NPI:1972545234
Name:MOLINARI, JENNIFER R (LCPC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:R
Last Name:MOLINARI
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 1:6610 WINDSOR CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-4101
Mailing Address - Country:US
Mailing Address - Phone:410-707-5786
Mailing Address - Fax:410-992-7073
Practice Address - Street 1:6030 DAYBREAK CIR STE 150285
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21029-1642
Practice Address - Country:US
Practice Address - Phone:410-707-5786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC1988101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD64635203OtherCAREFIRST RENDERING
DCM3280008OtherBC/BS NATL CAP REGION