Individual
MRS. BRONTE NICCOLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
6508 DEER POINTE DR # 4C, SALISBURY, MD 21804-1668
(410) 742-6016
Mailing address
6508 DEER POINTE DR # 4C, SALISBURY, MD 21804-1668
(410) 742-6016
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP9959
MD
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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