Jackson, Mary Gennifer

Jackson, Mary Gennifer is an individual health care provider with primary practice located at 904-A Washington Road , Westminster MD 21157. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jackson, Mary Gennifer can be contacted via phone (410) 751-9205.

Contact Information

Primary practice address
904-A Washington Road Westminster MD 21157
Phone: (410) 751-9205
Fax: (410) 751-6191
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC0855 Maryland

Profile Details

NPI number 1649559410
LBN Legal business name Jackson, Mary Gennifer
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2011
Last updated Jan 29th, 2024 - 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.

Request for update

Popular Providers