Individual provider · Type 1 NPI

Mia Jackson, LGPC

Professional Counselor · Easton, MD

NPI number 1073473815 Active

Practice location

300 Talbot St
Easton, MD 21601-3525

Fax (410) 820-5884

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLGP15068 (MD)

Professional Counselor: Definition to come...

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About NPI 1073473815

Mia Jackson, LGPC's National Provider Identifier is 1073473815, issued on Nov 14, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Easton, MD. The record was last updated on Nov 14, 2025.