Individual
JANINE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
13238 EXECUTIVE PARK TER, GERMANTOWN, MD 20874-2640
(240) 424-0730
Mailing address
18803 IMPULSE LN, GAITHERSBURG, MD 20879-1793
(301) 519-7527
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC9691
MD
Other
Enumeration date
09/27/2019
Last updated
01/30/2026
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