Organization
DIASPORIC HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELLE JACKSON LICSW, LCSW, LCSW-C (OWNER)
(202) 929-4286
Entity
Organization
Contact information
Practice address
6710 OXON HILL RD STE 210, OXON HILL, MD 20745-1124
(202) 929-4286
Mailing address
6710 OXON HILL RD STE 210, OXON HILL, MD 20745-1124
(202) 929-4286
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
05/20/2024
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