Individual
JESSIE ANN LEWIS BETTENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
7524 MAIN ST, SYKESVILLE, MD 21784-7594
(443) 328-4946
Mailing address
7524 MAIN ST STE 101, SYKESVILLE, MD 21784-7594
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP13715
MD
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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