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Jessica Donovan, LCPC

Counselor, Mental Health in Nottingham, MD. Individual provider (NPI-1).

NPI number1780098178
StatusActive
Last updated in NPPESJun 13, 2014

Details

NPI
1780098178
Entity type
Individual (NPI-1)
Name
Ms. Jessica Donovan
Credential
LCPC
Sex
Female
Sole proprietor
No
Enumeration date
Jun 13, 2014
Last updated
Jun 13, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthLC5701MDYes

Practice location

8615 Ridgelys Choice Dr
Suite # 212
Nottingham, MD 21236-3026

Phone 410-529-2151

Mailing address

8615 Ridgelys Choice Dr
Suite # 212
Nottingham, MD 21236-3026

Phone 410-529-2151

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