Individual
JESSICA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7458 BALTIMORE ANNAPOLIS BLVD, GLEN BURNIE, MD 21061-3541
(410) 787-2288
Mailing address
3503 EMMA LN, PASADENA, MD 21122-4176
(410) 913-5922
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC15033
MD
Other
Enumeration date
05/18/2022
Last updated
04/24/2024
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