Individual
ALEXANDRA LOIS JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1001 CROMWELL BRIDGE RD STE 312, TOWSON, MD 21286-3331
(410) 846-0095
Mailing address
64 BELMORE RD, LUTHERVILLE, MD 21093-6108
(443) 798-0045
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC15961
MD
Other
Enumeration date
02/13/2023
Last updated
12/20/2024
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