Jackson, Tanisha

Jackson, Tanisha is an sole proprietor health care provider with primary practice located at 9500 Annapolis Rd A8, Lanham MD 20706. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), 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, Tanisha can be contacted via phone (301) 710-9400.

Contact Information

Primary practice address
9500 Annapolis Rd A8 Lanham MD 20706
Phone: (301) 710-9400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 509417 District of Columbia
Behavioral Health & Social Service Providers / Professional 101YP2500X LC5879 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC5879 Maryland

Profile Details

NPI number 1700395571
LBN Legal business name Jackson, Tanisha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2017
Last updated Sep 25th, 2017 - 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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