Individual provider · Type 1 NPI

Kiti Jackson

Mental Health Counselor · Laurel, MD

NPI number 1174285613 Active

Practice location

14502 Greenview Dr Ste 500
Laurel, MD 20708-4245

Call (240) 415-8946 Map

Other practice locations

  • 10430 Shaker Dr Ste 200, Columbia, MD 21046-2336 · (240) 415-8946

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLC14207 (MD)

Mental Health Counselor: Definition to come...

15 other providers at this address

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About NPI 1174285613

Kiti Jackson's National Provider Identifier is 1174285613, issued on Oct 12, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Laurel, MD. The record was last updated on Jul 10, 2026.