Individual provider · Type 1 NPI
Jerrilyn Everlisa Jana Fabien
Mental Health Counselor · Waldorf, MD
NPI number
1114868239
Active
Practice location
6301 Whistlers Pl
Waldorf, MD 20603-4361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LGP16200 (MD) |
Mental Health Counselor: Definition to come...
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About NPI 1114868239
Jerrilyn Everlisa Jana Fabien's National Provider Identifier is 1114868239, issued on Apr 2, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waldorf, MD. The record was last updated on Apr 2, 2026.