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.
Provider's Profile
Full Name | Ms Gianna Latrice Jackson |
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Gender | Female |
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Speciality | Counselor |
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Location | 2255 Crain Hwy Ste 107, Waldorf, Maryland |
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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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