Individual provider · Type 1 NPI

India Beatrice Sojourner Jackson, LGPC

Professional Counselor · Baltimore, MD

NPI number 1235816174 Active

Practice location

312 Martin Luther King Jr Blvd Ste 300
Baltimore, MD 21201-1221

Call (443) 759-9592 Map

Mailing address

4307 Spring Foal Ct
Upper Marlboro, MD 20772-8326

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLGP13552 (MD)
Professional Counselor Primary 101YP2500XLGP13552 (MD)

Professional Counselor: Definition to come...

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About NPI 1235816174

India Beatrice Sojourner Jackson, LGPC's National Provider Identifier is 1235816174, issued on Jul 3, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Baltimore, MD. The record was last updated on Jul 3, 2023.