Provider Demographics
NPI:1699301275
Name:UNGER, JESSICA (LCPC NCC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:UNGER
Suffix:
Gender:F
Credentials:LCPC NCC
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:PLUMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LGPC NCC
Mailing Address - Street 1:6188 OXON HILL RD STE 500
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3136
Mailing Address - Country:US
Mailing Address - Phone:301-567-0400
Mailing Address - Fax:
Practice Address - Street 1:6188 OXON HILL RD STE 500
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3136
Practice Address - Country:US
Practice Address - Phone:301-567-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-16
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC12254101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional