SHANTIUS JACKSON, LPC

Counselor - Professional

Active Individual
NPI: 1780104455

Practice Address

2400 QUEENS CHAPEL RD APT 402
Hyattsville, MD 20782

Phone: (305) 345-5401

Specialties

Specialty Code Primary License
Counselor - Professional 101YP2500X Yes -

Frequently Asked Questions

NPI 1780104455 is the National Provider Identifier for SHANTIUS JACKSON, LPC, a Counselor - Professional provider located in Hyattsville, MD. This NPI was enumerated on June 23, 2017.
SHANTIUS JACKSON, LPC practices at 2400 QUEENS CHAPEL RD APT 402, Hyattsville, MD 20782.

Quick Facts

NPI
1780104455
Type
Individual
Enumerated
Jun 23, 2017
Last Updated
Jun 23, 2017

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