# MARCELLA JACKSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1922716711
- **Gender:** F
- **Credential:** LMSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 18439 | MD | Yes |
| 101YP2500X | Professional Counselor | 18439 | MD | — |
| 104100000X | Social Worker | 18439 | MD | — |
| 251B00000X | Case Management Agency | 18439 | MD | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | 18439 | MD | — |

## Other

- **Enumeration date:** 11/09/2022
- **Last updated:** 01/07/2023