NPI 1154185254

Shonta Jackson

Practitioner Rehabilitation Counselor Laurel, MD

Practice location

Address: 312 Marshall Ave STE 908, Laurel, MD 20707-4824
Phone: (800) 994-5403

Registered specialties

Rehabilitation Counselor Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225C00000X

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Registry record

NPI: 1154185254
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Feb 2024
Record last updated: 8 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.