Individual provider · NPI-1
Jessica Heckwolf, LCMFT, LCPAT
Marriage & Family Therapist · Annapolis, MD
NPI number1992820237
StatusActive
Last updated in NPPESJun 21, 2021
Details
- NPI
- 1992820237
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jessica Heckwolf
- Credential
- LCMFT, LCPAT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2007
- Certification date
- Jun 21, 2021
- Last updated
- Jun 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | – | Yes |
Other names
- Jessica Marie Interior (Former Name)
Practice location
1835 Forest Dr Ste HAnnapolis, MD 21401-4432
Phone 410-294-9324
Mailing address
1835 Forest Dr Ste HAnnapolis, MD 21401-4432
Phone 410-294-9232
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