Individual
JESSICA SHIREE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
9608 BELAIR RD, NOTTINGHAM, MD 21236-1101
(443) 595-7627
Mailing address
5710 LEIDEN RD, BALTIMORE, MD 21206-2917
(443) 447-4587
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP15130
MD
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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