Harris-Jackson, Chandra Nicole

Harris-Jackson, Chandra Nicole is an sole proprietor health care provider with primary practice located at 8620 Mayaone St , Laurel MD 20724-1992. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Harris-Jackson, Chandra Nicole can be contacted via phone (410) 916-1348.

Contact Information

Primary practice address
8620 Mayaone St Laurel MD 20724-1992
Phone: (410) 916-1348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 19845 Maryland

Profile Details

NPI number 1477949659
LBN Legal business name Harris-Jackson, Chandra Nicole
Credentials LCSW-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2015
Last updated Apr 14th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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