Individual
MS. MARY GENNIFER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
904-A WASHINGTON ROAD, WESTMINSTER, MD 21157
(410) 751-9205
(410) 751-6191
Mailing address
6 PARK CENTER COURT, SUITE 103, OWINGS MILLS, MD 21117
(410) 356-3344
(410) 356-4459
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC0855
MD
Other
Enumeration date
08/11/2011
Last updated
01/29/2024
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