Individual provider · Type 1 NPI

Samantha Lachelle Jackson, LCPC

Professional Counselor · Baltimore, MD

NPI number 1609438225 Active

Practice location

4317 Harford Rd
Baltimore, MD 21214-3118

Call (443) 708-7510 Map

Fax (410) 275-0992

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XLGP9650 (MD)
Professional Counselor Primary 101YP2500XLC11555 (MD)

Professional Counselor: Definition to come...

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About NPI 1609438225

Samantha Lachelle Jackson, LCPC's National Provider Identifier is 1609438225, issued on Jul 3, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Baltimore, MD. The record was last updated on Jun 5, 2023.