Healthcare Provider Details

I. General information

NPI: 1669393963
Provider Name (Legal Business Name): JAMIA KENT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8720 MYLANDER LN APT 3212
TOWSON MD
21286-2111
US

IV. Provider business mailing address

8720 MYLANDER LN APT 3212
TOWSON MD
21286-2111
US

V. Phone/Fax

Practice location:
  • Phone: 443-253-7514
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLGP17614
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: