Individual
DR. JESIKA ASARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
808 LANDMARK DR, GLEN BURNIE, MD 21061-4983
(917) 336-9113
Mailing address
7726 GUNSTON PLZ # 21, LORTON, VA 22199-8002
(917) 336-9113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04876
NY
101YM0800X
Mental Health Counselor
0701011566
VA
103TC0700X
Clinical Psychologist
0810007900
VA
Other
Enumeration date
04/25/2022
Last updated
08/05/2022
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