MRS. Jessica Formicola, LCPC
NPI #1225377195 in Baltimore, Maryland
Provider Information
- NPI Number
- 1225377195
- Entity Type
- Individual
- Name
- MRS. Jessica Formicola, LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LCPC
- Enumeration Date
- Feb 12, 2013
- Last Updated
- Feb 12, 2013
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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