Clancy, Jennifer Lynn

Clancy, Jennifer Lynn is an individual health care provider with primary practice located at 9515 Deereco Rd Ste 306 , Lutherville Timonium MD 21093-2152. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Clancy, Jennifer Lynn can be contacted via phone (410) 231-3016.

Contact Information

Primary practice address
9515 Deereco Rd Ste 306 Lutherville Timonium MD 21093-2152
Phone: (410) 231-3016
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / Professional 101YP2500X LGP11171 Maryland

Profile Details

NPI number 1669842530
LBN Legal business name Clancy, Jennifer Lynn
Credentials M.A., LGPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2015
Last updated Aug 3rd, 2022 - about 2 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 1669842530 NPPES
Maryland Other LGP11171 STATE BOARD OF PROFESSIONAL COUNSELORS & THERAPISTS

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