Individual
MEGAN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 GALLATIN ST NE, WASHINGTON, DC 20011-7533
(704) 661-4108
Mailing address
106 U ST NE, WASHINGTON, DC 20002-1320
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PRC200012631
DC
Other
Enumeration date
12/24/2020
Last updated
12/09/2025
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