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Individual

MRS. TOMESHA JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
16900 SCIENCE DR STE 208-210, BOWIE, MD 20715-4401
(240) 614-2133
Mailing address
4213 HATTIES PROGRESS DR, BOWIE, MD 20720-6321
(202) 505-0557

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP10591
MD
101YP2500X
Professional Counselor
Primary
LC12091
MD

Other

Enumeration date
09/03/2020
Last updated
05/08/2026
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