Individual
JERMAINE PETIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9627 PHILADELPHIA RD STE 160, ROSEDALE, MD 21237-4157
(410) 780-5203
(410) 780-5205
Mailing address
9627 PHILADELPHIA RD STE 160, ROSEDALE, MD 21237-4157
(410) 780-5203
(410) 780-5205
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC8184
MD
Other
Enumeration date
03/27/2019
Last updated
08/02/2022
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