Individual provider · Type 1 NPI
Leontay Jackson
Counselor · Washington, DC
NPI number
1669021242
Active
Practice location
324 37th St SE Apt 304
Washington, DC 20019-3142
Mailing address
700 12th St SE Apt 506
Washington, DC 20003-2942
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1669021242
Leontay Jackson's National Provider Identifier is 1669021242, issued on Sep 6, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Washington, DC. The record was last updated on Sep 6, 2019.