Individual
JASMINE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14201 LAUREL PARK DR STE 221, LAUREL, MD 20707-5203
(240) 240-9618
Mailing address
6228 GOTHIC LN, BOWIE, MD 20720-5319
(202) 914-8797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP14834
MD
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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