Organization
JERICA COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VILMA BLACK LGP, LCADC (THERAPIST/OWNER)
(443) 401-3159
Entity
Organization
Contact information
Practice address
26902 BLACK HORSE RUN, SALISBURY, MD 21801-2273
(443) 401-3159
Mailing address
2636 N SALISBURY BLVD # 1016, SALISBURY, MD 21801-2141
(443) 401-3159
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
02/20/2025
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