Jackson, Kendra Lorraine

Jackson, Kendra Lorraine is an sole proprietor health care provider with primary practice located at 2525 Riva Rd Ste 142 , Annapolis MD 21401-7411. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson, Kendra Lorraine can be contacted via phone (443) 221-7189.

Contact Information

Primary practice address
2525 Riva Rd Ste 142 Annapolis MD 21401-7411
Phone: (443) 221-7189
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LGP3952 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC14199 District of Columbia

Profile Details

NPI number 1306126867
LBN Legal business name Jackson, Kendra Lorraine
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2011
Last updated Apr 24th, 2012 - about 14 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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