Organization
SAFE HAVEN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNINE JACKSON (PRESIDENT)
(301) 766-7214
Entity
Organization
Contact information
Practice address
111 W WASHINGTON ST, HAGERSTOWN, MD 21740-4709
(301) 766-7214
(410) 872-9169
Mailing address
PO BOX 743, HAGERSTOWN, MD 21741-0743
(410) 872-9188
(410) 872-9169
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
09/11/2025
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