Organization
JESSI COLLINS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA AMI COLLINS LCSW-C (OWNER/THERAPIST)
(410) 541-6354
Entity
Organization
Contact information
Practice address
1298 BAY DALE DR STE 211, ARNOLD, MD 21012-2815
(410) 541-6354
Mailing address
1298 BAY DALE DR STE 211, ARNOLD, MD 21012-2815
(410) 541-6354
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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