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Individual

JESSE TROVATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LGPC

Contact information

Practice address
1407 WOODRIDGE MANOR RD, FALLSTON, MD 21047-2656
(410) 625-1600
Mailing address
1407 WOODRIDGE MANOR RD, FALLSTON, MD 21047-2656
(410) 625-1600

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC9856
MD
101YP2500X
Professional Counselor
LC9856
MD

Other

Enumeration date
10/26/2017
Last updated
02/17/2025
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