Healthcare Provider Details

I. General information

NPI: 1861347536
Provider Name (Legal Business Name): JENNIFER VALENTA COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10203 TANAGER LN STE 102
COLUMBIA MD
21044-4171
US

IV. Provider business mailing address

PO BOX 95
SIMPSONVILLE MD
21150-0095
US

V. Phone/Fax

Practice location:
  • Phone: 410-397-7675
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER VALENTA
Title or Position: OWNER
Credential:
Phone: 443-745-9264