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Shantius Jackson, LPC
NPI 1780104455 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2400 Queens Chapel Rd Apt 402
Hyattsville, MD 20782 - Phone
- (305) 345-5401
- Organisation at this address
- Galaxy Phlebotomy L.L.C
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Sex
- Female
- Record last updated
- 2017-06-23
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