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Female

Miss Celitta A. Jackson LCPC

Professional Counselor in Silver Spring, MD(View on Map)

Full Name

Miss Celitta Ann Jackson LCPC

NPI Number

1295115749

NPI Type

Individual Provider

Gender

Female

Enumeration Date

05/30/2015

Specialties

(Taxonomies)

Name

Professional Counselor

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

LC5556

Contact
Information

Purpose

Mailing
Location

Address

26 ARK RD
1620 ELTON RD

City

Lothian
Silver Spring

State

MD
MD

Postal Code

20711-2901
20903-1740

Country

US
US

Telephone Number

(410) 980-2745
(301) 439-7191

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/30/2015

Provider Address

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