Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Jackson, LAC

Individual provider Acupuncturist · NPI 1104786920

Jacob Jackson, LAC is an Acupuncturist in Ellicott City, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2025
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

3525 Ellicott Mills Dr Ste N
Ellicott City, MD 21043-4622
Phone: (301) 728-0631
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence U03217 (MD)

Record details

NPI number1104786920
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedNovember 14, 2025
Last updated in NPPESNovember 14, 2025
Certification dateNovember 13, 2025

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