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

SAMANTHA LACHELLE JACKSON, LCPC

Active

SAMANTHA LACHELLE JACKSON, LCPC is a Professional Counselor healthcare provider located in BALTIMORE, Maryland. NPI 1609438225 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · BALTIMORE, MD

Registration Details

NPI Number
1609438225
Provider Type
Individual
Gender
Female
NPI Issued
Jul 3, 2019 (6.9317615465902 yrs)
Last Updated
Jun 5, 2023
Licenses
LGP9650 (MD)
LC11555 (MD)

Practice Information

Address
4317 HARFORD RD
BALTIMORE, MD, 212143118
Browse MD providers · Browse ZIP 21214
Phone
4437087510
Fax
4102750992
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
Professional Counselor

Other Professional Counselor Providers in BALTIMORE, MD

Name Credential NPI
ARGIN HUTCHINS LGPC 1942296892
MS. LINDA M. GRANDE LCPC 1376522680
NICKOL D. BARNES LCPC 1154301430
LESLIE S. BLUM LCSW-C, BCD 1164493169
SHAUN EMORY ROBBS LCPC 1174596571
MELISSA A NEIN L.C.P.C. 1144281726
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.