Farrah Tykisia Jones, LGPC
Counselor, Professional in Laurel, MD. Individual provider (NPI-1).
NPI number1164029468
StatusActive
Last updated in NPPESOct 8, 2020
Details
- NPI
- 1164029468
- Entity type
- Individual (NPI-1)
- Name
- Farrah Tykisia Jones
- Credential
- LGPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 8, 2020
- Certification date
- Oct 8, 2020
- Last updated
- Oct 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LGP10346 | MD | Yes |
Practice location
14201 Laurel Park Dr Ste 106Laurel, MD 20707-5203
Phone 240-360-4765 · Fax 240-360-4767
Mailing address
8315 Crooked Pine CtGaithersburg, MD 20877-3793
Phone 404-909-2670
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