Individual
KEYANA A GRAHAM-JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7604 HEARTHSIDE WAY UNIT 1039, ELKRIDGE, MD 21075-7365
(301) 806-0138
Mailing address
7604 HEARTHSIDE WAY UNIT 1039, ELKRIDGE, MD 21075-7365
(301) 806-0138
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC14960
MD
101YM0800X
Mental Health Counselor
Primary
LGP12640
MD
Other
Enumeration date
04/27/2022
Last updated
01/12/2026
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