=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992582050
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AJ COUNSELING AND CONSULTING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/12/2023
-----------------------------------------------------
Last Update Date | 09/18/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2290 LOWELL RIDGE RD APT B
-----------------------------------------------------
City | PARKVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21234-2364
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-404-5911
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2290 LOWELL RIDGE RD APT B
-----------------------------------------------------
City | PARKVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21234-2364
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-404-5911
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/THERAPIST
-----------------------------------------------------
Name | DR. ARIANNE JENNINGS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 443-918-5530
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------