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Individual

BERNAIYYA JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8200 DIXON AVE APT 1402, SILVER SPRING, MD 20910-0005
(918) 340-8438
Mailing address
8200 DIXON AVE APT 1402, SILVER SPRING, MD 20910-0005
(918) 340-8438

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
322285
MD

Other

Enumeration date
10/03/2024
Last updated
10/03/2024
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