Individual provider · Type 1 NPI
Jacqueline E. Somerville, LCPC
Professional Counselor · Laurel, MD
NPI number
1497700470
Active
Practice location
9811 Mallard Dr, 219
Laurel, MD 20708-3143
Fax (301) 446-0131
Mailing address
PO Box 1367
Greenbelt, MD 20768-1367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LC2025 (MD) |
Professional Counselor: Definition to come...
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About NPI 1497700470
Jacqueline E. Somerville, LCPC's National Provider Identifier is 1497700470, issued on May 24, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Laurel, MD. The record was last updated on Oct 3, 2007.