Individual
JESSICA ROTHBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
10005 OLD COLUMBIA RD, L260, COLUMBIA, MD 21046-1702
(443) 259-0400
Mailing address
1515 OGDEN ST NW, APT 530, WASHINGTON, DC 20010-1239
(317) 432-6265
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP6821
MD
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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