MS. GIANNA LATRICE JACKSON GMFT NPI 1194297036

NPI Information

NPI: 1194297036
Provider Name: MS. GIANNA LATRICE JACKSON, GMFT
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
2255 CRAIN HWY STE 107
WALDORF, MD
ZIP 20601
Phone: (301) 292-2778
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MS. Gianna Latrice Jackson, GMFT is a counselor in Waldorf, MD. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MS. Gianna Latrice Jackson, GMFT NPI is 1194297036. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2255 CRAIN HWY STE 107
WALDORF, MD
ZIP 20601-186
Phone: (301) 292-2778

The enumeration date for this NPI number is 12/17/2018 and was last updated on 12/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164X00000X	Licensed Vocational Nurse		223042	OREGON	No
2	101Y00000X	Counselor				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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