Jam LLC
Counselor, Professional in Bowie, MD. Organization (NPI-2).
NPI number1699178236
StatusActive
Last updated in NPPESSep 26, 2014
Details
- NPI
- 1699178236
- Entity type
- Organization (NPI-2)
- Legal business name
- Jam LLC
- Organization subpart
- No
- Enumeration date
- Sep 26, 2014
- Last updated
- Sep 26, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LC3682 | MD | Yes |
| 101YP1600X | Counselor, Pastoral | – | – |
Other names
- Jam LLC (Doing Business As)
Practice location
12809 10th StBowie, MD 20720-3652
Phone 240-507-2634
Mailing address
Po Box 6111Largo, MD 20792-6111
Phone 240-507-2634
Authorized official
Keith A Thompson
Therapist
2405072634
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