Individual
PHYLLIS BELT-JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
940 MADISON AVE STE 202, BALTIMORE, MD 21201-2113
(410) 777-8710
(443) 434-0110
Mailing address
940 MADISON AVE STE 202, BALTIMORE, MD 21201-2113
(410) 777-8710
(443) 434-0110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP12018
MD
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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