Individual provider · Type 1 NPI

Tanisha Jackson

Mental Health Counselor · Lanham, MD

NPI number 1700395571 Active

Practice location

9500 Annapolis Rd, A8
Lanham, MD 20706

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X509417 (DC)
Professional Counselor 101YP2500XLC5879 (MD)
Mental Health Counselor Primary 101YM0800XLC5879 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1700395571

Tanisha Jackson's National Provider Identifier is 1700395571, issued on Sep 25, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lanham, MD. The record was last updated on Sep 25, 2017.