Organization
SERENITY THERAPEUTIC COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA LORRAINE JACKSON LCPC (CLINICAL DIRECTOR/THERAPIST)
(443) 333-9340
Entity
Organization
Contact information
Practice address
1612 MCGUCKIAN AVE SUITE 3, ANNAPOLIS, MD 21401-4024
(443) 333-9340
Mailing address
1901 MCGUCKIAN AVE 110, ANNAPOLIS, MD 21401
(443) 333-9340
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4153
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0459291-00
—
MD
Enumeration date
03/15/2012
Last updated
03/28/2012
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