Jackson, Juanita

Jackson, Juanita is an sole proprietor health care provider with primary practice located at 100 West Rd Ste 300 , Towson MD 21204-2370. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jackson, Juanita can be contacted via phone (434) 981-0340.

Contact Information

Primary practice address
100 West Rd Ste 300 Towson MD 21204-2370
Phone: (434) 981-0340
Fax: (443) 451-8214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0701008926 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC7981 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LGPC00202 District of Columbia

Profile Details

NPI number 1942747555
LBN Legal business name Jackson, Juanita
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2017
Last updated Nov 4th, 2025 - about last year

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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