MEDICARE: MISS JENNIFER WILLIAMS M.A.

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1912107582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JENNIFER WILLIAMS M.A.

Provider Business Mailing Address
First Line	:	2703 WOODLAKE RD
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20721-2567
Country	:	US
Telephone Number	:	718-757-2364
Fax Number	:

Provider Business Practice Location Address
First Line	:	16701 MELFORD BLVD STE 400
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20715-4411
Country	:	US
Telephone Number	:	202-743-0072
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2007
Last Update Date	:	12/18/2025

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