Individual provider · Type 1 NPI

Jacqueline Dale Grantland, LCPC, NCC

Mental Health Counselor · Lexington Park, MD

NPI number 1316905524 Active

Practice location

22776 Three Notch Rd Ste 210
Lexington Park, MD 20653-3370

Call (301) 866-6333 Map

Fax (240) 718-1906

Mailing address

PO Box 1662
Lexington Park, MD 20653-1662

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X5199 (NC)
Mental Health Counselor Primary 101YM0800XLC4189 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1316905524

Jacqueline Dale Grantland, LCPC, NCC's National Provider Identifier is 1316905524, issued on May 4, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lexington Park, MD. The record was last updated on Aug 13, 2023.