Individual provider · Type 1 NPI

Nicole Jackson, LGPC

Mental Health Counselor · Ellicott City, MD

NPI number 1033865639 Active

Practice location

787 Oella Ave
Ellicott City, MD 21043-4727

Call (443) 720-0090 Map

Mailing address

2213 Rogene Dr Apt 101
Baltimore, MD 21209-5730

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLGP12368 (MD)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1033865639

Nicole Jackson, LGPC's National Provider Identifier is 1033865639, issued on Feb 23, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ellicott City, MD. The record was last updated on Feb 23, 2022.