Individual
JESSICA W SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
508 CATHEDRAL ST, BALTIMORE, MD 21201-5029
(703) 772-3618
Mailing address
508 CATHEDRAL ST, BALTIMORE, MD 21201-5029
(703) 772-3618
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC12209
MD
Other
Enumeration date
09/19/2022
Last updated
12/06/2023
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