Organization
HARVESTING HOPE YOUTH AND FAMILIES SERVICES
Active
Other names
Harvesting Hope Youth and Family Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
OMEAKA JACKSON LCPC (OWNER/PSYCHOTHERAPIST)
(443) 351-4846
Entity
Organization
Contact information
Practice address
204 CEDAR ST, STE 102, CAMBRIDGE, MD 21613-2395
(443) 351-4846
Mailing address
204 CEDAR ST, STE 102, CAMBRIDGE, MD 21613-2395
(443) 351-4846
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC5086
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0723835
—
MD
Enumeration date
08/17/2016
Last updated
08/17/2016
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