Individual
MISS PAMELA ANGELA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3720 S STREET N.W LESTINE JACKSON, HOUSE, WASHINGTON, DC 20007
(571) 835-3023
Mailing address
4115 WISCONSIN AVE NW, WASHINGTON, DC 20016-2812
(571) 835-3023
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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