Individual
JESSICA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
3708 ALGONQUIN TRL, SNOW HILL, MD 21863-3332
(443) 235-6231
Mailing address
5820 YORK RD STE 201, BALTIMORE, MD 21212-3620
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LGP15970
MD
101YM0800X
Mental Health Counselor
Primary
LGP15970
MD
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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