Individual
JESSICA NICOLE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, NCC, C.A.S.E.
Contact information
Practice address
8600 LASALLE RD, SUITE 634, TOWSON, MD 21286-1720
(410) 356-2007
Mailing address
8600 LASALLE RD, SUITE 634, TOWSON, MD 21286-1720
(410) 356-2007
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3100
MD
Other
Enumeration date
07/09/2009
Last updated
08/25/2025
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