person
Mrs. Jessica Formicola, LCPC
Professional Counselor in Baltimore, Maryland
NPI 1225377195

Jessica Formicola is a Professional Counselor based in Baltimore, MD and is specialized in Professional. Jessica Formicola practices in Baltimore, MD and has the professional credentials of LCPC. The NPI Number for Jessica Formicola is 1225377195 and holds a License No. LC2853 (Maryland).

The current practice location address for Jessica Formicola is 2401 W Belvedere Ave, Baltimore, MD and can be reached out via phone at 410-601-9943.

Location: 2401 W Belvedere Ave, Baltimore, MD, 21215-5216
person
Provider Profile Details
NPI Number
1225377195
Provider Name
Jessica Formicola
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
2401 W Belvedere Ave, Baltimore, MD, 21215-5216
Phone Number
410-601-9943
Fax Number
Provider Enumeration Date
02/12/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2401 W Belvedere Ave
City
State
Zip
21215-5216
Phone Number
410-601-9943
Fax Number
person
Provider Business Mailing Address Details
Address
2401 W Belvedere Ave
City
State
Zip
21215-5216
Phone Number
410-601-9943
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC2853 (Maryland)
Definition
Definition to come...
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