MS. Jacqueline Dale Grantland, LCPC, NCC
NPI #1316905524 in Lexington Park, Maryland
Provider Information
- NPI Number
- 1316905524
- Entity Type
- Individual
- Name
- MS. Jacqueline Dale Grantland, LCPC, NCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LCPC, NCC
- Enumeration Date
- May 4, 2006
- Last Updated
- Aug 13, 2023
Practice Location
- Address
- 22776 THREE NOTCH RD STE 210
- City
- Lexington Park
- State
- Maryland
- ZIP Code
- 20653-3370
- Phone
- (301) 866-6333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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