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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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