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Organization
GRACE CARRIES WELLNESS COLLABORATIVE AND CONSULTING
Active
Organization
GRACE CARRIES WELLNESS COLLABORATIVE AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN JACKSON LCPC (LEAD CLINICAN)
(240) 354-7446
Entity
Organization
Contact information
Practice address
9565 SYLVAN STILL RD APT Q, LAUREL, MD 20723-1540
(443) 537-9626
Mailing address
9565 SYLVAN STILL RD APT Q, LAUREL, MD 20723-1540
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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