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

Tanisha Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1700395571

Tanisha Jackson is an Addiction (Substance Use Disorder) Counselor in Lanham, Maryland. Practices as a sole proprietor. Licensed in District of Columbia and Maryland.

Licensed in
DC, MD
In the registry since
2017
Specialties on file
3

Practice location Address checks out

9500 Annapolis Rd A8
Lanham, MD 20706
Phone: (301) 710-9400
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 LC5879 (MD)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 509417 (DC)
Professional Counselor Taxonomy 101YP2500X · Licence LC5879 (MD)

Record details

NPI number1700395571
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 25, 2017
Last updated in NPPESSeptember 25, 2017
Mailing address9500 Annapolis Rd, Lanham, MD 20706-2060

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