person
Kiti Jackson
Mental Health Counselor in Columbia, Maryland
NPI 1174285613

Kiti Jackson is a Mental Health Counselor based in New Market, MD and is specialized in Mental Health. Kiti Jackson practices in Columbia, MD. The NPI Number for Kiti Jackson is 1174285613 and holds a License No. LGP11986 (Maryland).

The current practice location address for Kiti Jackson is 6440 Dobbin Rd Ste D, Columbia, MD and can be reached out via phone at 757-593-4272.

Location: 6440 Dobbin Rd Ste D, Columbia, MD, 21774-6628
person
Provider Profile Details
NPI Number
1174285613
Provider Name
Kiti Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
6440 Dobbin Rd Ste D, Columbia, MD, 21774-6628
Phone Number
757-593-4272
Fax Number
Provider Enumeration Date
10/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6440 Dobbin Rd Ste D
City
State
Zip
21045-4770
Phone Number
757-593-4272
Fax Number
person
Provider Business Mailing Address Details
Address
6440 Dobbin Rd Ste D
City
State
Zip
21045-4770
Phone Number
757-593-4272
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LGP11986 (Maryland)
Definition
Definition to come...
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