Most Relevant Information
Provider Data
| NPI Number: | 1003531195 |
| Provider Name: | JOLENE NIEHAUS LCPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | LC12812 |
Most Important Dates
| Enumeration Date: | 10/11/2022 |
| Last Updated: | 10/11/2022 |
Provider Practice Location
535 OLD WESTMINSTER PIKE STE 106
WESTMINSTER
MD
211576267
Practice Location Phone/Fax
| Phone: | 4105520773 |
| Fax: | 4432000267 |
Provider Mailing Location
PO BOX 1229
SYKESVILLE
MD
217841229
Provider Mailing Phone/Fax
| Phone: | 4105520773 |
| Fax: | 4432000267 |