Individual
MS. TANEEKA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1530 1ST ST SW, WASHINGTON, DC 20024-3401
(202) 479-0089
(202) 479-4709
Mailing address
1530 1ST ST SW, WASHINGTON, DC 20024-3401
(202) 479-0089
(202) 479-4709
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LG50078542
DC
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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