Jackson, Lillian L

Jackson, Lillian L is an sole proprietor health care provider with primary practice located at 1311 S Main St Ste 302C , Mount Airy MD 21771-5464. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Jackson, Lillian L can be contacted via phone (667) 770-6549.

Contact Information

Primary practice address
1311 S Main St Ste 302C Mount Airy MD 21771-5464
Phone: (667) 770-6549
Fax: (866) 949-4549
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LC12160 Maryland
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC12160 Maryland
Behavioral Health & Social Service Providers / Pastoral 101YP1600X LC12160 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC12160 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC12160 Maryland

Profile Details

NPI number 1891352993
LBN Legal business name Jackson, Lillian L
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2019
Last updated Oct 26th, 2023 - 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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