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Individual

JESSICA H LANDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7310 RITCHIE HWY, SUITE # 1009, GLEN BURNIE, MD 21061-3065
(410) 768-5988
(410) 768-5989
Mailing address
7310 RITCHIE HWY, SUITE # 1009, GLEN BURNIE, MD 21061-3065
(410) 768-5988
(410) 768-5989

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC4998
MD

Other

Enumeration date
01/20/2015
Last updated
01/21/2015
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