Organization
A CHANGE WILL COME COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ANN JACKSON LCSW-C (CLINICAL SOCIAL WORKER)
(443) 271-7449
Entity
Organization
Contact information
Practice address
516 N ROLLING RD STE 305, CATONSVILLE, MD 21228-4145
(443) 272-5987
Mailing address
516 N ROLLING RD STE 305, CATONSVILLE, MD 21228-4145
(443) 272-5987
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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