Ms. Mary G. Jackson LCPC - Professional Counselor in Westminster, Maryland | ProviderWire

Full Name

Ms. Mary Gennifer Jackson LCPC

NPI Number

1649559410

NPI Type

Individual Provider

Gender

Female

Enumeration Date

08/11/2011

Specialties

(Taxonomies)

Name

Professional Counselor

Code

101YP2500X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

LC0855

Contact
Information

Purpose

Mailing

Location

Address

6 PARK CENTER COURT

904-A WASHINGTON ROAD

City

Owings Mills

Westminster

State

MD

MD

Postal Code

21117

21157

Country

US

US

Telephone Number

(410) 356-3344

(410) 751-9205

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

Data last updated by provider on 01/29/2024

Provider Address

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