KENDRA LORRAINE JACKSON LPC NPI 1306126867

NPI Information

NPI: 1306126867
Provider Name: KENDRA LORRAINE JACKSON, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2525 RIVA RD STE 142
ANNAPOLIS, MD
ZIP 21401
Phone: (443) 221-7189
Get Directions

Kendra Lorraine Jackson, LPC is a professional counselor in Annapolis, MD. Kendra Lorraine Jackson, LPC NPI is 1306126867. 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:

2525 RIVA RD STE 142
ANNAPOLIS, MD
ZIP 21401-411
Phone: (443) 221-7189

The enumeration date for this NPI number is 8/27/2011 and was last updated on 4/24/2012.

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	101Y00000X	Counselor		LGP3952	MARYLAND	No
2	101YP2500X	Counselor	Professional	LPC14199	DISTRICT OF COLUMBIA	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: 4/28/2024

NPI Synchronization or Removal

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