Individual provider · Type 1 NPI

Juanita Jackson, LCPC

Mental Health Counselor · Towson, MD

NPI number 1942747555 Active

Practice location

100 West Rd Ste 300
Towson, MD 21204-2370

Call (434) 981-0340 Map

Fax (443) 451-8214

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X0701008926 (VA)
Mental Health Counselor Primary 101YM0800XLC7981 (MD)
Mental Health Counselor 101YM0800XLGPC00202 (DC)

Mental Health Counselor: Definition to come...

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About NPI 1942747555

Juanita Jackson, LCPC's National Provider Identifier is 1942747555, issued on Jan 22, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Towson, MD. The record was last updated on Nov 4, 2025.