Provider Demographics
NPI:1982369294
Name:HAMADY, JENNIFER M (LGPC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:M
Last Name:HAMADY
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3559 HAMLET PL
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4822
Mailing Address - Country:US
Mailing Address - Phone:212-600-4880
Mailing Address - Fax:
Practice Address - Street 1:3559 HAMLET PL
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4822
Practice Address - Country:US
Practice Address - Phone:212-600-4880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-02
Last Update Date:2023-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP12019101Y00000X
MDLC14458101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor