Organization
GRACE CARRIES WELLNESS COLLABORATIVE AND CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRSTEN JACKSON LCPC (LEAD CLINICAN)
(240) 354-7446
Entity
Organization
Contact information
Practice address
9565 SYLVAN STILL RD APT Q, LAUREL, MD 20723-1540
(443) 537-9626
Mailing address
9565 SYLVAN STILL RD APT Q, LAUREL, MD 20723-1540
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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