Individual provider · NPI-1

Dr. Jesika Asaro, PhD

Counselor, Mental Health · Glen Burnie, MD

NPI number1831833839
StatusActive
Last updated in NPPESAug 5, 2022

Details

NPI
1831833839
Entity type
Individual (NPI-1)
Name
Dr. Jesika Asaro
Credential
PhD
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 25, 2022
Certification date
Aug 5, 2022
Last updated
Aug 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health04876NYYes
101YM0800X Counselor, Mental Health0701011566VA
103TC0700X Psychologist, Clinical0810007900VA

Practice location

808 Landmark Dr
Glen Burnie, MD 21061-4983

Phone 917-336-9113

Mailing address

7726 Gunston Plz # 21
Lorton, VA 22199-8002

Phone 917-336-9113

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