Celitta Jackson, LCPC

NPI 1295115749 · on the registry since 2015 · sole proprietor

Practice

Address: 1620 Elton Rd
Suite 206
Silver Spring, MD 20903
Phone: (301) 439-7191
Fax: (301) 439-1169
Organisation at this address: Ephesians Life Ministries
Type 1 Individual Provider
Ephesians Life Ministries, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-05-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland