Jaundoo, Stacey B

Jaundoo, Stacey B is an individual health care provider with primary practice located at 4401 E West Hwy Ste 504 , Bethesda MD 20814-4523. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jaundoo, Stacey B can be contacted via phone (980) 226-7522.

Contact Information

Primary practice address
4401 E West Hwy Ste 504 Bethesda MD 20814-4523
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6831 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X LC9276 Maryland

Profile Details

NPI number 1740468461
LBN Legal business name Jaundoo, Stacey B
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2008
Last updated Jan 2nd, 2020 - about 5 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 1740468461 NPPES
North Carolina MEDICAID 6103824

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