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

Nicole Jackson, LGPC

Individual provider Mental Health Counselor · NPI 1033865639

Nicole Jackson, LGPC is a Mental Health Counselor in Ellicott City, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2022

Practice location Address checks out

787 Oella Ave
Ellicott City, MD 21043-4727
Phone: (443) 720-0090
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LGP12368 (MD)

Record details

NPI number1033865639
Entity typeIndividual (Type 1)
GenderFemale
Credentials LGPC
Sole proprietorYes
NPI enumeratedFebruary 23, 2022
Last updated in NPPESFebruary 23, 2022
Certification dateFebruary 23, 2022

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