Individual
JESSICA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2107 LAUREL BUSH RD STE 102, BEL AIR, MD 21015-5202
(443) 371-3233
Mailing address
2704 RAYNHAM CT, BALDWIN, MD 21013-9519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC8331
MD
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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