Individual
JALISSA WORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3050 CRAIN HWY, WALDORF, MD 20601-2824
(301) 979-8300
Mailing address
3050 CRAIN HWY, WALDORF, MD 20601-2824
(301) 979-8300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
28363
MD
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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