Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Yvonne Grant, LGPC

Individual provider Mental Health Counselor · NPI 1174314959

Jacqueline Yvonne Grant, LGPC is a Mental Health Counselor in Suitland, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2025
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Practice location Address checks out

5563 Lanier Ave
Suitland, MD 20746-6218
Phone: (434) 426-6494
Fax: (434) 426-6494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LGP15015 (MD)

Record details

NPI number1174314959
Entity typeIndividual (Type 1)
GenderFemale
Credentials LGPC
Sole proprietorYes
NPI enumeratedMay 13, 2025
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025

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