KIRSTEN TAMARA JACKSON

LAUREL, MD
NPI1033961990
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MD  LC17136)
Enumeration Date2024-04-03
Last Update Date2025-10-20
Business Address
KIRSTEN TAMARA JACKSON LCPC
9565 SYLVAN STILL RD
LAUREL, MD 20723-1540
Phone number: 240-354-7446
Mailing Address
KIRSTEN TAMARA JACKSON LCPC
9565 SYLVAN STILL RD APT Q
LAUREL, MD 20723-1540
Phone number: 240-354-7446
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