Individual
TRAINA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
243 EISENHOWER CT, ODENTON, MD 21113-3201
(410) 440-6220
Mailing address
243 EISENHOWER CT, ODENTON, MD 21113-3201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MD
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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