Individual provider · Type 1 NPI

Gianna Latrice Jackson, GMFT

Counselor · Waldorf, MD

NPI number 1194297036 Active

Practice location

2255 Crain Hwy Ste 107
Waldorf, MD 20601-3186

Mailing address

PO Box 644
Temple Hills, MD 20757-0644

Specialties and licenses

TaxonomyCodeLicense
Licensed Vocational Nurse 164X00000X223042 (CA)
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1194297036

Gianna Latrice Jackson, GMFT's National Provider Identifier is 1194297036, issued on Dec 17, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Waldorf, MD. The record was last updated on Dec 17, 2018.