Healthcare Provider Details

I. General information

NPI: 1952798811
Provider Name (Legal Business Name): JMR COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2015
Last Update Date: 04/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8105 LILLY STONE DR
BETHESDA MD
20817-4570
US

IV. Provider business mailing address

8105 LILLY STONE DR
BETHESDA MD
20817-4570
US

V. Phone/Fax

Practice location:
  • Phone: 301-639-4036
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16953
License Number StateMD

VIII. Authorized Official

Name: JONATHAN M. RHOADS
Title or Position: MANAGING MEMBER
Credential: LCSW-C, LICSW
Phone: 301-639-4036