Stine, Jennifer Leo

Stine, Jennifer Leo is an sole proprietor health care provider with primary practice located at 2603 N Rolling Rd Ste 301-302 , Windsor Mill MD 21244-1975. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Stine, Jennifer Leo can be contacted via phone (410) 298-4642.

Contact Information

Primary practice address
2603 N Rolling Rd Ste 301-302 Windsor Mill MD 21244-1975
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC8065 Maryland

Profile Details

NPI number 1033682786
LBN Legal business name Stine, Jennifer Leo
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2019
Last updated Jan 5th, 2019 - 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 1033682786 NPPES
Maryland MEDICAID LC8065

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