Amankwa, Jacklyn

Amankwa, Jacklyn is an individual health care provider with primary practice located at 14300 Cherry Lane Ct Ste 202-203 , Laurel MD 20707-4958. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Amankwa, Jacklyn can be contacted via phone (240) 360-2637.

Contact Information

Primary practice address
14300 Cherry Lane Ct Ste 202-203 Laurel MD 20707-4958
Phone: (240) 360-2637
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1184101552
LBN Legal business name Amankwa, Jacklyn
Credentials LGW
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2018
Last updated Jul 27th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184101552 NPPES
Maryland MEDICAID 267002000

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