Individual provider · Type 1 NPI

Sandra Jones Jackson, LCPC, PROV LMHC

Professional Counselor · Germantown, MD

NPI number 1669675369 Active

Practice location

12003 Rushworth Ter
Germantown, MD 20874-2536

Call (443) 629-2236 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XPMH 729 (FL)
Professional Counselor Primary 101YP2500XLC1622 (MD)

Professional Counselor: Definition to come...

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About NPI 1669675369

Sandra Jones Jackson, LCPC, PROV LMHC's National Provider Identifier is 1669675369, issued on Jun 8, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Germantown, MD. The record was last updated on Mar 3, 2026.