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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIA JACKSON, LGPC

Active

MIA JACKSON, LGPC is a Professional Counselor healthcare provider located in EASTON, Maryland. NPI 1073473815 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · EASTON, MD

Registration Details

NPI Number
1073473815
Provider Type
Individual
Gender
Female
NPI Issued
Nov 14, 2025 (0.73382413965509 yrs)
Last Updated
Nov 14, 2025
License
LGP15068 (MD)

Practice Information

Address
300 TALBOT ST
EASTON, MD, 216013525
Browse MD providers · Browse ZIP 21601
Phone
4108221018
Fax
4108205884
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in EASTON, MD

Name Credential NPI
MRS. MARIE MYER STEIMEL LCPC 1811904261
MRS. ELIZABETH ANN SIMPERS LCPC 1023196995
DR. ANTOINETTE ROTH SULLIVAN ED.D., LCPC, ACS 1952446171
MS. CAROL PETOK PH.D., L.C.P.C. 1891952339
MICHELE GREEN WATSON LCPC 1447586375
STEPHEN H SCHAFFNER LCPC 1689965147
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.