Jackson, Gianna Latrice

Jackson, Gianna Latrice is an sole proprietor health care provider with primary practice located at 2255 Crain Hwy Ste 107 , Waldorf MD 20601-3186. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Vocational Nurse, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Jackson, Gianna Latrice can be contacted via phone (301) 292-2778.

Contact Information

Primary practice address
2255 Crain Hwy Ste 107 Waldorf MD 20601-3186
Phone: (301) 292-2778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 223042 California
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1194297036
LBN Legal business name Jackson, Gianna Latrice
Credentials GMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 17th, 2018
Last updated Dec 17th, 2018 - about 7 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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