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Individual

MRS. JACLYN R BUSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
1208 E CHURCHVILLE RD STE 300, BEL AIR, MD 21014-3485
(410) 893-4600
Mailing address
93 BYRON DR, SMITHSBURG, MD 21783-1565
(301) 992-7896

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC17671
MD
101YP2500X
Professional Counselor
Primary
LGP14088
MD
163W00000X
Registered Nurse
R199312
MD

Other

Enumeration date
07/21/2023
Last updated
04/09/2026
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