Jackson, Donna

Jackson, Donna is an individual health care provider with primary practice located at 3310 Eastern Ave , Baltimore MD 21224-4108. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Jackson, Donna can be contacted via phone (667) 400-5428.

Contact Information

Primary practice address
3310 Eastern Ave Baltimore MD 21224-4108
Phone: (667) 400-5428
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X AC1978 Maryland
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1245931757
LBN Legal business name Jackson, Donna
Credentials MSW, CAC-AD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2023
Last updated Mar 13th, 2023 - about 3 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.

Request for update

Popular Providers