person
India Beatrice Sojourner Jackson, LGPC
Professional Counselor in Baltimore, Maryland
NPI 1235816174

India Beatrice Sojourner Jackson is a Professional Counselor based in Upper Marlboro, MD and is specialized in Professional. India Beatrice Sojourner Jackson practices in Baltimore, MD and has the professional credentials of LGPC. The NPI Number for India Beatrice Sojourner Jackson is 1235816174 and holds a License No. LGP13552 (Maryland).

The current practice location address for India Beatrice Sojourner Jackson is 312 Martin Luther King Jr Blvd Ste 300, Baltimore, MD and can be reached out via phone at 443-759-9592.

Location: 312 Martin Luther King Jr Blvd Ste 300, Baltimore, MD, 20772-8326
person
Provider Profile Details
NPI Number
1235816174
Provider Name
India Beatrice Sojourner Jackson
Credential
LGPC
Provider Entity Type
Individual
Gender
Female
Address
312 Martin Luther King Jr Blvd Ste 300, Baltimore, MD, 20772-8326
Phone Number
443-759-9592
Fax Number
Provider Enumeration Date
07/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
312 Martin Luther King Jr Blvd Ste 300
City
State
Zip
21201-1221
Phone Number
443-759-9592
Fax Number
person
Provider Business Mailing Address Details
Address
312 Martin Luther King Jr Blvd Ste 300
City
State
Zip
21201-1221
Phone Number
443-759-9592
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LGP13552 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LGP13552 (Maryland)
Definition
Definition to come...
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