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Lillian L Jackson, LCPC
Mental Health Counselor in Mount Airy, Maryland
NPI 1891352993

Lillian L Jackson is a Mental Health Counselor based in Mount Airy, MD and is specialized in Mental Health. Lillian L Jackson practices in Mount Airy, MD and has the professional credentials of LCPC. The NPI Number for Lillian L Jackson is 1891352993 and holds a License No. LC12160 (Maryland).

The current practice location address for Lillian L Jackson is 1311 S Main St Ste 302C, Mount Airy, MD and can be reached out via phone at 667-770-6549 and via fax at 866-949-4549.

Location: 1311 S Main St Ste 302C, Mount Airy, MD, 21771-0985
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891352993
Provider Name
Lillian L Jackson
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
1311 S Main St Ste 302C, Mount Airy, MD, 21771-0985
Phone Number
667-770-6549
Fax Number
866-949-4549
Provider Enumeration Date
05/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1311 S Main St Ste 302C
City
Mount Airy
State
Maryland
Zip
21771-5464
Phone Number
667-770-6549
Fax Number
866-949-4549
person
Provider Business Mailing Address Details
Address
1311 S Main St Ste 302C
City
Mount Airy
State
Maryland
Zip
21771-5464
Phone Number
667-770-6549
Fax Number
866-949-4549
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LC12160 (Maryland)
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
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
LC12160 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LC12160 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
101YP1600X
License No.
LC12160 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LC12160 (Maryland)
Definition
Definition to come...
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