Provider Demographics
NPI:1588392153
Name:FRANKLIN, GREGORY JAMES JR (LCPC, LPC)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:JAMES
Last Name:FRANKLIN
Suffix:JR
Gender:M
Credentials:LCPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5412 OLD CRAIN HWY
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3021
Mailing Address - Country:US
Mailing Address - Phone:301-980-9638
Mailing Address - Fax:
Practice Address - Street 1:5412 OLD CRAIN HWY
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-3021
Practice Address - Country:US
Practice Address - Phone:301-980-9638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-11
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14421101YP2500X
MDLC8018101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional