Individual
MRS. JESSICA L IVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3 CEDAR ST, CAMBRIDGE, MD 21613-2362
(443) 477-3589
(410) 228-0513
Mailing address
3 CEDAR ST, CAMBRIDGE, MD 21613-2362
(443) 477-3589
(410) 228-0513
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2578
MD
Other
Enumeration date
11/22/2011
Last updated
07/16/2013
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