MYSIA JACKSON

CATONSVILLE, MD
NPI1588224174
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MD  LC11648)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: MD  LGP8492)
Enumeration Date2019-06-17
Last Update Date2021-12-17
Business Address
MYSIA JACKSON LCPC
632 FREDERICK RD STE 200
CATONSVILLE, MD 21228-4696
Phone number: 443-413-9874
Mailing Address
MYSIA JACKSON LCPC
5275 N GEORGE STREET EXT
MANCHESTER, PA 17345-9400
Phone number: 443-413-9874