Individual provider · Type 1 NPI

Wanda Elizabeth Jackson

Professional Counselor · Forest Hill, MD

NPI number 1497069900 Active

Practice location

2018 Rock Spring Rd, A6
Forest Hill, MD 21050-2631

Call (410) 838-2493 Map

Fax (410) 838-2547

Mailing address

4006 Jeffery Ct
Abingdon, MD 21009-3073

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLGP3349 (MD)
Professional Counselor 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1497069900

Wanda Elizabeth Jackson's National Provider Identifier is 1497069900, issued on Jul 27, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Forest Hill, MD. The record was last updated on Jul 27, 2010.