Individual provider · Type 1 NPI
Lillian L. Jackson, LCPC
Mental Health Counselor · Mount Airy, MD
NPI number
1891352993
Active
Practice location
108 E Ridgeville Blvd Ste A
Mount Airy, MD 21771-5934
Fax (866) 949-4549
Mailing address
PO Box 985
Mount Airy, MD 21771-0985
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | LC12160 (MD) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC12160 (MD) |
| Mental Health Counselor Primary | 101YM0800X | LC12160 (MD) |
| Counselor | 101Y00000X | LC12160 (MD) |
| Pastoral Counselor | 101YP1600X | LC12160 (MD) |
Mental Health Counselor: Definition to come...
2 other providers at this address
Other mental health counselor providers in Mount Airy
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About NPI 1891352993
Lillian L. Jackson, LCPC's National Provider Identifier is 1891352993, issued on May 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mount Airy, MD. The record was last updated on Sep 18, 2025.