Organization
JESSICA GOTTLIEB LCPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA GOTTLIEB LCPC (MANAGING MEMBER)
(301) 502-6560
Entity
Organization
Contact information
Practice address
4400 E WEST HWY STE 720, BETHESDA, MD 20814-4509
(301) 244-8257
Mailing address
4977 BATTERY LN APT 202, BETHESDA, MD 20814-4916
(301) 502-6560
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC4324
MD
101YM0800X
Mental Health Counselor
LC4324
MD
101YP2500X
Professional Counselor
Primary
LC4324
MD
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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