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

TANISHA JACKSON

Active Sole Proprietor

TANISHA JACKSON is a Mental Health Counselor healthcare provider located in LANHAM, Maryland. NPI 1700395571 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · LANHAM, MD

Registration Details

NPI Number
1700395571
Provider Type
Individual
Gender
Female
NPI Issued
Sep 25, 2017 (8.8623793376546 yrs)
Last Updated
Sep 25, 2017
Licenses
509417 (DC)
LC5879 (MD)
LC5879 (MD)
Sole Proprietor
Yes

Practice Information

Address
9500 ANNAPOLIS RD
A8
LANHAM, MD, 20706
Browse MD providers · Browse ZIP 20706
Phone
3017109400
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Professional Counselor
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in LANHAM, MD

Name Credential NPI
MARGARET O'BRIEN LC 1033320635
CAROL HERDER LGPC 1467663849
MRS. KATJA THOMAS 1740491018
MR. KEVIN BARWICK LCPC 1265628812
MRS. TAMI SHAW 1194154625
AMANDA WELCH 1467860122
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.