Individual
JESSICA M KOONTZ-FERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
49 ROCK SPRINGS RD, CONOWINGO, MD 21918-1352
(410) 378-9696
(410) 378-9922
Mailing address
PO BOX 307, SIMPSONVILLE, MD 21150-0307
(443) 545-9027
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
23315
MD
Other
Enumeration date
08/03/2021
Last updated
01/05/2023
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