| Dr Jenae Nichelle Proctor, LCPC | |
|
9701 Apollo Dr Ste 330, Upper Marlboro, MD 20774-4795 | |
| (240) 487-6934 | |
| Not Available |
| Full Name | Dr Jenae Nichelle Proctor |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 9701 Apollo Dr Ste 330, Upper Marlboro, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740753276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | LC12267 (Maryland) | Primary |
| Entity Name | United Counseling And Support Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942744040 PECOS PAC ID: 6709276967 Enrollment ID: O20211202000138 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jenae Nichelle Proctor, LCPC 9701 Apollo Dr Ste 330, Upper Marlboro, MD 20774-4795 Ph: (240) 487-6934 | Dr Jenae Nichelle Proctor, LCPC 9701 Apollo Dr Ste 330, Upper Marlboro, MD 20774-4795 Ph: (240) 487-6934 |
Latasha Mann, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 68 Watkins Park Dr # 4454, Upper Marlboro, MD 20774 Phone: 240-435-2457 | |
Herenia Munoz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4212 Largo Rd, Upper Marlboro, MD 20772 Phone: 301-917-7511 | |
Latrice Jane' Nesbit, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12313 Foyette Ln, Upper Marlboro, MD 20772 Phone: 980-420-0230 | |
Maranda Hairston-diggs, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9701 Apollo Dr, Upper Marlboro, MD 20774 Phone: 240-487-6934 | |
Kier Gaines, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10926 Meridian Hill Way, Upper Marlboro, MD 20772 Phone: 202-413-3932 | |
Brittany Simms, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 Mercantile Ln Ste 433, Upper Marlboro, MD 20774 Phone: 240-681-9721 | |
Ilanna Brookins-jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Harry S Truman Dr Apt 33, Upper Marlboro, MD 20774 Phone: 856-981-1570 |