Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | LC3093 | MD |
NPI | 1003110719 |
---|---|
Provider Name | Jaime Lynn Barnes |
First Address | White Plains, MD 20695-1050 |
Second Address | White Plains, MD 20695-1050 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2011 |
Last Update Date | 06/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
424194100 | (05) | MD |