Individual provider · Type 1 NPI

Valencia Jackson

Mental Health Counselor · Annapolis, MD

NPI number 1184003642 Active

Practice location

1125 West St
Annapolis, MD 21401-3607

Call (301) 904-4851 Map

Mailing address

PO Box 2924
La Plata, MD 20646-2984

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1184003642

Valencia Jackson's National Provider Identifier is 1184003642, issued on May 29, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Annapolis, MD. The record was last updated on May 29, 2015.