Individual
MRS. DANNA LEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3700 FLEET ST, STE 200, BALTIMORE, MD 21224-4200
(410) 558-4900
(410) 522-5070
Mailing address
3501 SINCLAIR LN, BALTIMORE, MD 21213-2029
(410) 732-8800
(443) 703-3242
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA388
MD
101YP2500X
Professional Counselor
Primary
LCI990
MD
Other
Enumeration date
08/09/2007
Last updated
08/18/2016
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