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Nicole Jackson-wolf, MED
Counselor in Lutherville Timonium, Maryland
NPI 1861977944

Nicole Jackson-wolf is a Counselor based in Lutherville Timonium, MD. Nicole Jackson-wolf practices in Lutherville Timonium, MD and has the professional credentials of MED. The NPI Number for Nicole Jackson-wolf is 1861977944 and holds a License No. LC12858 (Maryland).

The current practice location address for Nicole Jackson-wolf is 9515 Deereco Rd Ste 306, Lutherville Timonium, MD and can be reached out via phone at 410-231-3016. You can also correspond with Nicole Jackson-wolf through the mailing address at 9515 DEERECO RD STE 306, LUTHERVILLE TIMONIUM, MD - 21093-2152 (mailing address contact number: 410-231-3016).

Location: 9515 Deereco Rd Ste 306, Lutherville Timonium, MD, 21093-2152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861977944
Provider Name
Nicole Jackson-wolf
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
9515 Deereco Rd Ste 306, Lutherville Timonium, MD, 21093-2152
Phone Number
410-231-3016
Fax Number
Provider Enumeration Date
09/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9515 Deereco Rd Ste 306
City
Lutherville Timonium
State
Maryland
Zip
21093-2152
Phone Number
410-231-3016
Fax Number
person
Provider Business Mailing Address Details
Address
9515 Deereco Rd Ste 306
City
Lutherville Timonium
State
Maryland
Zip
21093-2152
Phone Number
410-231-3016
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
PC012337 (Pennsylvania)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LC12858 (Maryland)
Definition
Definition to come...
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