Provider Demographics
NPI:1649983214
Name:CHECK, JESSICA (LGPC, MED, MFA)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:CHECK
Suffix:
Gender:F
Credentials:LGPC, MED, MFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 RITCHIE AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-5240
Mailing Address - Country:US
Mailing Address - Phone:646-271-4634
Mailing Address - Fax:
Practice Address - Street 1:3720 FARRAGUT AVE STE 301
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2110
Practice Address - Country:US
Practice Address - Phone:240-242-5066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-28
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP13433101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional