JESSICA MOORE LCPC
NPI 1689311862
Counselor - Professional in Glen Burnie, MD

Active since May 18, 2022
7458 BALTIMORE ANNAPOLIS BLVD, GLEN BURNIE, MD 21061(410) 787-2288 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 24, 2024, Apr 15, 2024, Apr 11, 2024 and 2 more (5 updates tracked since 2022).

  • Individual
  • Female
  • Counselor
  • Professional

About JESSICA MOORE

This page provides the complete NPI Profile along with additional information for Jessica Moore, a provider established in Glen Burnie, Maryland with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1689311862 assigned on May 2022. The practitioner's primary taxonomy code is 101YP2500X with license number LC15033 (MD). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1689311862 Verify this NPI
Provider Name
JESSICA MOORE LCPC
Gender
Female
Entity Type
Individual
Location Address
7458 BALTIMORE ANNAPOLIS BLVD GLEN BURNIE, MD 21061
Location Phone
(410) 787-2288
Mailing Address
3503 EMMA LN PASADENA, MD 21122
Mailing Phone
(410) 913-5922
Is Sole Proprietor?
No
Enumeration Date
05-18-2022
Last Update Date
04-24-2024
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Location Map

Secondary Locations

  • 3503 Emma Ln
    Pasadena, MD 21122
    (410) 913-5922

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
LC15033
License State
MD

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Substance Abuse Rehabilitation Facility
7458 BALTIMORE ANNAPOLIS BLVD
GLEN BURNIE, MD 21061
Counselor (Mental Health)
7458 BALTIMORE ANNAPOLIS BLVD, 2ND FLOOR
GLEN BURNIE, MD 21061

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689311862, enumerated as an "individual" on May 18, 2022.

The provider is located at 7458 BALTIMORE ANNAPOLIS BLVD GLEN BURNIE, MD 21061 and the phone number is (410) 787-2288.

Counselor with taxonomy code 101YP2500X and a focus in Professional.