Individual
JESSICA HARNAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6225 SMITH AVE STE 1001A, BALTIMORE, MD 21209-3626
(877) 576-4824
Mailing address
145 HIGHLAND ST APT C9, TAUNTON, MA 02780-4737
(774) 283-5166
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FRB848300717
BLUE CROSS BLUE SHIELD
—
Enumeration date
05/07/2021
Last updated
05/07/2021
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