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

MS. Sandra Jones Jackson, LCPC, PROVLMHC

Individual provider Mental Health Counselor · NPI 1669675369

MS. Sandra Jones Jackson, LCPC, PROVLMHC is a Mental Health Counselor in Germantown, Maryland. Practices as a sole proprietor. Licensed in Florida and Maryland.

Licensed in
FL, MD
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

12003 Rushworth Ter
Germantown, MD 20874-2536
Phone: (443) 629-2236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LC1622 (MD)
Mental Health Counselor Taxonomy 101YM0800X · Licence PMH 729 (FL)

Record details

NPI number1669675369
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC , PROVLMHC
Sole proprietorYes
NPI enumeratedJune 8, 2007
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

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