Individual
JAZMINE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8609 2ND AVE # 4048, SILVER SPRING, MD 20910-3360
(202) 674-2887
Mailing address
8345 PIONEER DR, SEVERN, MD 21144-2503
(202) 813-0494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP14925
MD
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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