Individual
JOHN ARTHUR JACKSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, NCC
Contact information
Practice address
7050 CHESAPEAKE RD STE 104, HYATTSVILLE, MD 20784-2345
(240) 770-7204
Mailing address
PO BOX 669, ROCKVILLE, MD 20848-0669
(301) 452-4002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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