person
Nicole Jackson, LGPC
Mental Health Counselor in Ellicott City, Maryland
NPI 1033865639

Nicole Jackson is a Mental Health Counselor based in Baltimore, MD and is specialized in Mental Health. Nicole Jackson practices in Ellicott City, MD and has the professional credentials of LGPC. The NPI Number for Nicole Jackson is 1033865639 and holds a License No. LGP12368 (Maryland).

The current practice location address for Nicole Jackson is 787 Oella Ave, Ellicott City, MD and can be reached out via phone at 443-720-0090.

Location: 787 Oella Ave, Ellicott City, MD, 21209-5730
person
Provider Profile Details
NPI Number
1033865639
Provider Name
Nicole Jackson
Credential
LGPC
Provider Entity Type
Individual
Gender
Female
Address
787 Oella Ave, Ellicott City, MD, 21209-5730
Phone Number
443-720-0090
Fax Number
Provider Enumeration Date
02/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
787 Oella Ave
City
State
Zip
21043-4727
Phone Number
443-720-0090
Fax Number
person
Provider Business Mailing Address Details
Address
787 Oella Ave
City
State
Zip
21043-4727
Phone Number
443-720-0090
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LGP12368 (Maryland)
Definition
Definition to come...
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