Individual provider · Type 1 NPI

Nashota Lynn Jackson, LCPC, NCC

Professional Counselor · Annapolis, MD

NPI number 1639656200 Active

Practice location

611 Ridgely Ave
Annapolis, MD 21401-1069

Call (410) 803-3318 Map

Mailing address

1121 Crestview Dr
Annapolis, MD 21409-4803

Other practice locations

  • 7310 Ritchie Hwy Ste 1009, Glen Burnie, MD 21061-3398 · (239) 537-6684

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500XLC10411 (MD)

Professional Counselor: Definition to come...

7 other providers at this address

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About NPI 1639656200

Nashota Lynn Jackson, LCPC, NCC's National Provider Identifier is 1639656200, issued on Jul 25, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Annapolis, MD. The record was last updated on May 14, 2020.