Individual
JILLIAN BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1803 PENNSYLVANIA AVE, BALTIMORE, MD 21217-3235
(443) 602-7804
Mailing address
1413 ANCHOR ST, BALTIMORE, MD 21230-4331
(410) 562-1122
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
LC9761
MD
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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