Keinesha Shonte Jackson
Social Worker in Washington, DC. Individual provider (NPI-1).
NPI number1265950604
StatusActive
Last updated in NPPESJul 16, 2024
Details
- NPI
- 1265950604
- Entity type
- Individual (NPI-1)
- Name
- Keinesha Shonte Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2017
- Certification date
- Jul 16, 2024
- Last updated
- Jul 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | LG200002832 | DC | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YM0800X | Counselor, Mental Health | ASW91203 | CA |
Practice location
208 I St NeWashington, DC 20002-4340
Phone 202-427-8851
Mailing address
208 I St Ne Fl 2Washington, DC 20002-4340
Phone 202-427-8851 · Fax 202-929-2833
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