Organization
JACKSON WELLNESS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZAINAB JACKSON NCC, LCPC (PSYCHOTHERAPIST)
(240) 506-1797
Entity
Organization
Contact information
Practice address
1811 METZEROTT RD APT 807, ADELPHI, MD 20783-5192
(240) 506-1797
Mailing address
1811 METZEROTT RD APT 807, ADELPHI, MD 20783-5192
(240) 506-1797
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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