Danna Lee Jackson in Baltimore - Addiction (substance Use Disorder)

Danna Lee Jackson - NPI 1093906489

Danna Lee Jackson is a Addiction (substance Use Disorder) in Baltimore, Maryland. Danna Lee Jackson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Danna Lee Jackson is 1093906489. The last update date is 2016-08-18.

Danna Lee Jackson's current location address is 3501 Sinclair Ln, Baltimore, Maryland. You can contact this provider via phone number 4107328800 and fax number 4437033242. The mailing address for Danna Lee Jackson is 3501 Sinclair Ln, Baltimore, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Danna Lee Jackson
Address 3501 Sinclair Ln, Baltimore, Maryland
Phone Number 4107328800
Fax Number 4437033242
Sole Proprietor N
Credentials LCPC

NPI Number Detail

NPI Number 1093906489
Provider Enumeration Date 2007-08-09
Last Updated Date 2016-08-18

Provider Mailing Address Detail

Address 3501 Sinclair Ln
City Baltimore
State Maryland (MD)
Post Code 212132029
Phone Number 4107328800
Fax Number 4437033242

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No LCA388
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Danna Lee Jackson

What is the unique identifier code issued to Danna Lee Jackson by the Centers for Medicare & Medicaid Services (CMS)?

The Danna Lee Jackson has been assigned the NPI (National Provider Identifier) 1093906489. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Danna Lee Jackson is located?

The Danna Lee Jackson is situated at the following address: 3501 Sinclair Ln, Baltimore, MD, 212132029.

What is Danna Lee Jackson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Danna Lee Jackson's area of specialization is Addiction (substance Use Disorder), and the corresponding taxonomy code that categorizes this field of practice is 101Ya0400X.

On what date did the Danna Lee Jackson receive its 1093906489 assignment from the Centers for Medicare & Medicaid Services?

The Danna Lee Jackson was assigned its 1093906489 by the Centers for Medicare & Medicaid Services on 2007-08-09.

As of what date were the details related to Danna Lee Jackson most recently updated or revised?

The information pertaining to Danna Lee Jackson, including its address, specialty, and other relevant details, was last updated or revised on 2016-08-18.

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