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Individual

MRS. ZAINAB JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NCC, LCPC

Contact information

Practice address
1811 METZEROTT RD APT 807, ADELPHI, MD 20783-5192
(202) 681-8084
Mailing address
1811 METZEROTT RD APT 807, ADELPHI, MD 20783-5192
(202) 681-8084

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
101YS0200X
School Counselor

Other

Enumeration date
10/31/2018
Last updated
10/31/2018
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