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NPI Code Detail

MEDICARE: JENNIFER ELIZABETH ESCOBAR MENDOZA

MEDICARE:   JENNIFER ELIZABETH ESCOBAR MENDOZA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLGP15505MD

General Provider Information

NPI Number : 1740106947
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER ELIZABETH ESCOBAR MENDOZA
Provider Business Mailing Address
First Line : 1425 UNIVERSITY BLVD E STE 245
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-4646
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1425 UNIVERSITY BLVD E STE 245
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20783-4646
Country : US
Telephone Number : 240-752-2767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2026
Last Update Date : 06/24/2026

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Directions to “ JENNIFER ELIZABETH ESCOBAR MENDOZA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.