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NPI 1831833839 · live from the CMS NPI Registry

Jesika Asaro, PhD

Counselor, Mental Health in Glen Burnie, MD. National Provider Identifier 1831833839, active.

NPI record

NPI1831833839 Type 1 · individual
StatusActive
Primary specialtyCounselor, Mental Health 101YM0800X
Practice location808 Landmark Dr, Glen Burnie, MD 21061
Practice phone917-336-9113
Mailing address7726 Gunston Plz # 21, Lorton, VA 22199
EnumeratedApril 25, 2022
Last updatedAugust 5, 2022
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Mental Health101YM0800X0701011566 (VA)
Psychologist, Clinical103TC0700X0810007900 (VA)
Counselor, Mental Health primary101YM0800X04876 (NY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.