KENDRA LORRAINE JACKSON


Address: 2525 Riva Rd Ste 142, Annapolis, MD 21401-7411
Phone: 4432217189

KENDRA LORRAINE JACKSON (NPI# 1306126867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306126867
Entity Type Individual
Full Name KENDRA LORRAINE JACKSON
Credential LPC
Practice Address 2525 Riva Rd Ste 142
Annapolis
MD 21401-7411
Practice Telephone 4432217189
Mailing Telephone 4432217189
Enumeration Date 2011-08-27
Last Update Date 2012-04-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor LGP3952 MD Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
LPC14199 DC Behavioral Health & Social Service Providers

Other Providers KENDRA JACKSON

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1548583164 Kendra D Jackson Behavioral Analyst 8136 James Ct Apt A, Oklahoma City, OK 73145-4446 2010-03-10
1578726204 Kendra Y Jackson Licensed Vocational Nurse 568 S Winery Ave, #104, Fresno, CA 93727-8239 2008-07-02
1649776469 Kendra Joy Jackson Pediatrics 1000 Blythe Blvd Fl 4, Charlotte, NC 28203-5812 2018-04-02
1801297056 Kendra Jackson Counselor 90 Hospital Dr, Athens, OH 45701-2301 2014-09-08

Office Location

Street Address 2525 RIVA RD STE 142
City ANNAPOLIS
State MD
Zip Code 21401-7411

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710229729 Kimberly T Mills Counselor 2525 Riva Rd Ste 142, Annapolis, MD 21401-7411 2013-03-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497377154 Michael Khorsandi Student in an Organized Health Care Education/Training Program 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 2020-05-15
1275172033 Katrice N Nelson Massage Therapist Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 2019-12-27
1548803521 Victoria Reimnitz Behavioral Analyst 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 2019-10-23
1700438140 Emily Megan Burke Nurse Practitioner 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 2019-07-16
1316504848 Sherina Maryam Shamsa Counselor 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 2019-05-21
1497225288 Jerilyn Deitch Speech-Language Pathologist Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 2018-12-05
1487124038 Lucinda W Mimms Speech-Language Pathologist 2644 Riva Rd., Annapolis, MD 21401 2018-11-27
1487145496 Michelle Baudean Behavior Technician 1919 West St Ste 201, Annapolis, MD 21401 2018-05-24
1730678954 Stephanie Ruth Streb Registered Nurse 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 2018-05-02
1780183947 Annapolis Sleep Center LLC Clinic/Center 2451 Riva Rd, Annapolis, MD 21401 2018-02-02
Find all providers in zip 21401

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508417759 Timothy Lee Mewmaw Counselor 700 Melvin Ave Ste 5, Annapolis, MD 21401-1506 2019-09-27
1063903722 Gail Bowles Counselor 133 Defense Hwy Ste 210, Annapolis, MD 21401-8907 2018-05-29
1295246718 Safe Harbor Behavioral Care Chesapeake LLC Counselor 108 Old Solomons Island Rd Unit 5, Annapolis, MD 21401-3845 2017-10-24
1063891109 Laura Wanderling Counselor 1843 Lindamoor Dr, Annapolis, MD 21401-1039 2015-05-21
1609264506 Rickie Phillips Counselor 201 Medical Parkway, Annapolis, MD 21401 2014-12-30
1689921371 Jane Spell Counselor 884 Chesterfield Rd, Annapolis, MD 21401-7049 2012-08-13
1881969459 Serenity Therapeutic Counseling Services Counselor 1612 Mcguckian Ave Suite 3, Annapolis, MD 21401-4024 2012-03-15
1437461308 Gwen Marie Condon Counselor 8 Leeward Ct, Annapolis, MD 21403-3489 2010-07-08
1942523816 Rebecca J Bickel Counselor 1056 Pinecrest Dr, Annapolis, MD 21403-4253 2010-03-08
1942534409 James A Stafford Counselor 102 Old Solomons Island Rd, Suite 202, Annapolis, MD 21401-3816 2009-09-30
Find all providers in ANNAPOLIS

Competitor

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City ANNAPOLIS
Zip Code 21401

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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