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Dr. Lisa Rene' Jackson-cherry
Professional Counselor in Chester, Maryland
NPI 1750304275

Lisa Rene' Jackson-cherry is a Professional Counselor based in Grasonville, MD and is specialized in Professional. Lisa Rene' Jackson-cherry practices in Chester, MD. The NPI Number for Lisa Rene' Jackson-cherry is 1750304275 and holds a License No. LCPC0403 (Maryland).

The current practice location address for Lisa Rene' Jackson-cherry is 1114 Didinato Dr, Chester, MD and can be reached out via phone at 410-490-0535.

Location: 1114 Didinato Dr, Chester, MD, 21638-1003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750304275
Provider Name
Lisa Rene' Jackson-cherry
Credential
Provider Entity Type
Individual
Gender
Female
Address
1114 Didinato Dr, Chester, MD, 21638-1003
Phone Number
410-490-0535
Fax Number
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OX94 01 MD BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1114 Didinato Dr
City
Chester
State
Maryland
Zip
21619
Phone Number
410-490-0535
Fax Number
person
Provider Business Mailing Address Details
Address
1114 Didinato Dr
City
Chester
State
Maryland
Zip
21619
Phone Number
410-490-0535
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LCPC0403 (Maryland)
Definition
Definition to come...
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