Provider Demographics
NPI:1396018388
Name:ALBRIGHT, JESSICA ROSE (LCPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:ROSE
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:LCPC, NCC
Other - Prefix:
Other - First Name:JESS
Other - Middle Name:
Other - Last Name:ALBRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:700 MONTCLAIRE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4577
Mailing Address - Country:US
Mailing Address - Phone:240-457-9015
Mailing Address - Fax:
Practice Address - Street 1:700 MONTCLAIRE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4577
Practice Address - Country:US
Practice Address - Phone:240-457-9015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-22
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5406101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health