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Individual

MS. SANDRA JONES JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC, PROV LMHC

Contact information

Practice address
12003 RUSHWORTH TER, GERMANTOWN, MD 20874-2536
(443) 629-2236
Mailing address
12003 RUSHWORTH TER, GERMANTOWN, MD 20874-2536
(443) 629-2236
(443) 629-2236

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PMH 729
FL
101YP2500X
Professional Counselor
Primary
LC1622
MD

Other

Enumeration date
06/08/2007
Last updated
03/03/2026
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