Provider Demographics
NPI:1053205989
Name:KANTER, JODI I (PHD, LGPC, P-RDT)
Entity type:Individual
Prefix:
First Name:JODI
Middle Name:I
Last Name:KANTER
Suffix:
Gender:F
Credentials:PHD, LGPC, P-RDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7205 SPRUCE AVE
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-4305
Mailing Address - Country:US
Mailing Address - Phone:240-638-6405
Mailing Address - Fax:
Practice Address - Street 1:8380 COLESVILLE RD STE 300
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-6264
Practice Address - Country:US
Practice Address - Phone:240-638-6405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP15731101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health