Jessica Diez LCPC - Professional Counselor in Silver Spring, Maryland | ProviderWire

Full Name

Jessica Diez LCPC

NPI Number

1104216902

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/31/2015

Specialties

(Taxonomies)

Name

Professional Counselor

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

LC6087

Contact
Information

Purpose

Mailing

Location

Address

12501 PROSPERITY DR STE 310

12501 PROSPERITY DR STE 310

City

Silver Spring

Silver Spring

State

MD

MD

Postal Code

20904-1699

20904-1699

Country

US

US

Telephone Number

(402) 780-8884

(240) 780-8884

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/22/2020

Provider Address

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