Lavila D Jackson
Lavila D Jackson is a Community/Behavioral Health Agency in Columbia, Maryland. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 3
Practice location Address checks out
7090 Samuel Morse Dr Ste 100Columbia, MD 21046-3444
Phone: (443) 852-7036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 2811 Pennsylvania Ave Se, Washington, DC 20020-3865 — (202) 894-6811
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1639855836 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 23, 2023 |
| Last updated in NPPES | October 15, 2024 |
| Certification date | October 15, 2024 |
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