Individual
MRS. SHAWAN D PATTERSON JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1933 MONTANA AVE NE, WASHINGTON, DC 20002-1817
(202) 842-2016
Mailing address
800 BLEAK HILL PL, UPPER MARLBORO, MD 20774-8870
(443) 386-3325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PRC 369
DC
101YP2500X
Professional Counselor
PRC369
DC
Other
Enumeration date
06/13/2015
Last updated
07/17/2015
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