Individual provider · Type 1 NPI
Latrice S. Jackson
Mental Health Counselor · Windsor Mill, MD
NPI number
1457239352
Active
Practice location
8009 Parks Ln
Windsor Mill, MD 21244-2151
Mailing address
637 Wyndstar Cir
Westminster, MD 21158-4439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LGP14668 (MD) |
Mental Health Counselor: Definition to come...
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About NPI 1457239352
Latrice S. Jackson's National Provider Identifier is 1457239352, issued on Aug 27, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Windsor Mill, MD. The record was last updated on Aug 27, 2025.