Individual provider · Type 1 NPI
Jessica Moore, LCPC
Professional Counselor · Annapolis, MD
NPI number
1689311862
Active
Practice location
2631 Housley Rd # 1298
Annapolis, MD 21401-7030
Mailing address
3503 Emma Ln
Pasadena, MD 21122-4176
Other practice locations
- 7458 Baltimore Annapolis Blvd, Glen Burnie, MD 21061-3541 · (410) 787-2288
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC15033 (MD) |
| Mental Health Counselor | 101YM0800X | LC15033 (MD) |
| Professional Counselor Primary | 101YP2500X | LC15033 (MD) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1689311862
Jessica Moore, LCPC's National Provider Identifier is 1689311862, issued on May 18, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Annapolis, MD. The record was last updated on Sep 1, 2026.