Phyllis Belt-Jackson, LGPC
Phyllis Belt-Jackson, LGPC is a Mental Health Counselor in Baltimore, Maryland. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Maryland.
- Years since qualifying
- 6
- Licensed in
- MD
- In the registry since
- 2022
Practice location Address checks out
940 Madison Ave Ste 202Baltimore, MD 21201-2113
Phone: (410) 777-8710
Fax: (443) 434-0110
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LGP12018 (MD) |
|---|
Record details
| NPI number | 1285385187 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LGPC |
| Sole proprietor | Yes |
| NPI enumerated | January 12, 2022 |
| Last updated in NPPES | January 12, 2022 |
| Certification date | January 12, 2022 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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