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Contact Information

JESSICA R ANDERSON
5022 CAMPBELL BLVD STE L-M
NOTTINGHAM, MD21236-4969
 Phone: 410-406-0109
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for JESSICA R ANDERSON · (Female)

NPI # 1205537248
Status Active
Credentials
Entity Individual
Enumeration date 03/16/2023
Last updated 06/07/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MD License # LGP15174
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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