Individual provider · Type 1 NPI
Jill Marie Penaloza, LCPAT, CGP
Professional Counselor · Annapolis, MD
NPI number
1316039779
Active
Practice location
127 Chesapeake Ave
Annapolis, MD 21403-2607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | ATC022 (MD) |
Professional Counselor: Definition to come...
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About NPI 1316039779
Jill Marie Penaloza, LCPAT, CGP's National Provider Identifier is 1316039779, issued on Sep 29, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Annapolis, MD. The record was last updated on Sep 29, 2026.