Individual
MS. RHONDA JANIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2 N DUNDALK AVE, DUNDALK, MD 21222-4221
(667) 600-3684
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-4540
(855) 778-6866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701011861
VA
101YM0800X
Mental Health Counselor
Primary
LC9584
MD
101YM0800X
Mental Health Counselor
PRC200001458
DC
Other
Enumeration date
05/30/2019
Last updated
11/09/2023
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