JEROME D GARRETT SR.


Address: 402 Patriots Way, Elkton, MD 21921-5101
Phone: 3023127141

JEROME D GARRETT SR. (NPI# 1275955593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275955593
Entity Type Individual
Full Name JEROME D GARRETT SR.
Credential LCPC, NCC
Practice Address 402 Patriots Way
Elkton
MD 21921-5101
Practice Telephone 3023127141
Mailing Telephone 3023127141
Enumeration Date 2014-01-07
Last Update Date 2016-06-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LC7117 MD Behavioral Health & Social Service Providers

Office Location

Street Address 402 PATRIOTS WAY
City ELKTON
State MD
Zip Code 21921-5101

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1124462676 Arlene Hackbarth Counselor 203 Buttonwoods Rd Lowr Level, Elkton, MD 21921-6571 2013-04-26
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1518111681 Sarah Renee Langley Counselor 203 Buttonwoods Rd, Lower Level, Elkton, MD 21921-6571 2008-11-15
1457961005 John Howard Anderson Counselor 111 E Main St, Elkton, MD 21921-5996 2020-08-07
1033774989 Brantwood Fs LLC Counselor 1190 Augustine Herman Hwy, Elkton, MD 21921-8251 2019-05-07
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1679069439 Ellen Jenkins Foster Counselor 1275b W Pulaski Hwy, Elkton, MD 21921-4719 2018-07-05
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Competitor

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City ELKTON
Zip Code 21921

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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