ANTOINETTE JACKSON

WASHINGTON, DC
NPI1275187387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: DC  PRC200001270)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: MD  LGPC10802)
101YP2500X Counselor, Professional
(Licence: DC  LGPC00603)
Enumeration Date2019-07-26
Last Update Date2021-11-16
Business Address
ANTOINETTE JACKSON LPC
5048 11TH ST NE
WASHINGTON, DC 20017-2848
Phone number: 202-570-5774
Mailing Address
ANTOINETTE JACKSON LPC
5048 11TH ST NE
WASHINGTON, DC 20017-2848
Phone number: 202-570-5774