Jessica Lust

NPI #1386072486 in Easton, Maryland

Provider Information

NPI Number: 1386072486
Entity Type: Individual
Name: Jessica Lust
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Oct 29, 2013
Last Updated: Oct 29, 2013

Practice Location

Address: 29520 CANVASBACK DR
City: Easton
State: Maryland
ZIP Code: 21601-7124
Phone: (410) 822-5007

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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