Individual
ANDREA BROWN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3438 SUMMIT CT NE, WASHINGTON, DC 20018-1651
(202) 641-5988
Mailing address
3438 SUMMIT CT NE, WASHINGTON, DC 20018-1651
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC13928
DC
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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