Jacqueline Ejim, LCPC
Counselor, Professional in Baltimore, MD. Individual provider (NPI-1).
NPI number1861920282
StatusActive
Last updated in NPPESOct 6, 2025
Details
- NPI
- 1861920282
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jacqueline Ejim
- Credential
- LCPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 30, 2017
- Certification date
- Oct 6, 2025
- Last updated
- Oct 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LC7848 | MD | Yes |
Practice location
1040 Park Ave Ste 200Baltimore, MD 21201-5634
Phone 443-738-0300 · Fax 443-738-0301
Mailing address
1040 Park Ave Ste 200Baltimore, MD 21201-5634
Phone 443-738-0300 · Fax 443-738-0301
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