Ms Gianna Latrice Jackson, GMFT in Waldorf, MD - Counselor

Ms Gianna Latrice Jackson, GMFT is a Counselor based in Waldorf, Maryland. Ms Gianna Latrice Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is 2255 Crain Hwy Ste 107, Waldorf, Maryland. She can be reached at her office (for appointments etc.) via phone at (301) 292-2778.

NPI number for Ms Gianna Latrice Jackson is 1194297036 and her current mailing address is Po Box 644, Temple Hills, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194297036.

Contact Information

	Ms Gianna Latrice Jackson, GMFT
	2255 Crain Hwy Ste 107, Waldorf, MD 20601-3186
	(301) 292-2778
	Not Available

Provider's Profile

Full Name	Ms Gianna Latrice Jackson
Gender	Female
Speciality	Counselor
Location	2255 Crain Hwy Ste 107, Waldorf, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1194297036
Provider Enumeration Date: 12/17/2018
Last Update Date: 12/17/2018

Medical Identifiers

Medical identifiers for Ms Gianna Latrice Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194297036	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
164X00000X	Licensed Vocational Nurse	223042 (California)	Secondary
101Y00000X	Counselor	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Gianna Latrice Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Gianna Latrice Jackson, GMFT Po Box 644, Temple Hills, MD 20757-0644 Ph: (619) 944-9971	Ms Gianna Latrice Jackson, GMFT 2255 Crain Hwy Ste 107, Waldorf, MD 20601-3186 Ph: (301) 292-2778

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Ms Gianna Latrice Jackson, GMFT - Counselor in Waldorf, MD