Organization
JAXCYN THERAPY GROUP
Active
Organization
JAXCYN THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TA'WANE WATKINS LICSW (THERAPIST)
(571) 867-0075
Entity
Organization
Contact information
Practice address
6340 SECURITY BLVD STE 100, BALTIMORE, MD 21207-5284
(571) 867-0075
(202) 318-0667
Mailing address
1520 BELLE VIEW BLVD # 5011, ALEXANDRIA, VA 22307-6530
(571) 867-0075
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
07/31/2026
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