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General NPI Number Information
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NPI Number | 1407390909
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Entity Type | Organization
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Legal Business Name | JACKSON MARRIAGE AND FAMILY COUNSELING SERVICES
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1629 K ST NW STE 300
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City | WASHINGTON
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State | DC
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Zip | 20006-1631
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Country | US
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Telephone | 202-973-0170
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Fax | 540-388-2525
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Provider Business Mailing Address
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Address Line | 1629 K ST NW STE 300
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City | WASHINGTON
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State | DC
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Zip | 20006-1631
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Country | US
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Telephone | 202-913-5913
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Fax | 540-388-2525
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TOWANDA JACKSON
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Credential | DSW, LMFT
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Telephone | 202-809-1174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMFT000038
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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