Provider Demographics
NPI:1811652043
Name:QURESHI, JESSICA DEENAH MAHARAJ (MA, LCPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:DEENAH MAHARAJ
Last Name:QURESHI
Suffix:
Gender:F
Credentials:MA, LCPC, NCC
Other - Prefix:MISS
Other - First Name:JESSICA
Other - Middle Name:DEENAH
Other - Last Name:MAHARAJ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LGPC, NCC
Mailing Address - Street 1:5820 YORK RD STE 201
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-3620
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5820 YORK RD STE 201
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-3620
Practice Address - Country:US
Practice Address - Phone:240-434-3891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-02
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP11795101YM0800X
MDLC14103101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health