Individual
DR. IRIS JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
6610B TRIBUTARY ST STE 310, BALTIMORE, MD 21224-6503
(443) 628-6956
(443) 628-6947
Mailing address
6610 TRIBUTARY ST, SUITE 310, BALTIMORE, MD 21224-6514
(443) 628-6956
(443) 628-6947
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
15995
MD
Other
Enumeration date
06/20/2011
Last updated
03/09/2026
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