Individual
JERILYN DURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 GREENE ST STE 101, CUMBERLAND, MD 21502-3089
(301) 724-1697
(301) 724-1697
Mailing address
36 GREENE ST STE 101, CUMBERLAND, MD 21502-3089
(301) 724-1697
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC7366
MD
Other
Enumeration date
09/23/2016
Last updated
12/09/2022
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