Samantha Lachelle Jackson is a Baltimore, Maryland based counselor who is specialized as Professional Counselor. Active license number of Samantha Lachelle Jackson is LC11555 for Professional Counselor in Maryland. Her current practice location is 4317 Harford Rd, Baltimore. Patients can book an appointment with her at 443-708-7510.
Samantha Lachelle Jackson is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Samantha Lachelle Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Samantha Lachelle Jackson
Specialization:
Professional Counselor
Gender:
Female
Credentials:
LCPC
Accepts Medicare Assignment:
No
Practice Address:
4317 Harford Rd, Baltimore, Maryland, 21214-3118
Phone:
443-708-7510
Fax:
410-275-0992
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1609438225
NPI Enumeration Date:
03 Jul, 2019
NPI Last Update On:
05 Jun, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samantha Lachelle Jackson are as mentioned below.
License Number
Specialization
State
Status
LC11555
Professional Counselor
Maryland
Primary
LGP9650
Professional Counselor
Maryland
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Samantha Lachelle Jackson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
210292700
Medicaid
Maryland
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4317 Harford Rd, Baltimore, Maryland
Zip:
21214-3118
Phone Number:
410-275-0994
Fax Number:
410-275-0992
Patients can reach Samantha Lachelle Jackson at 4317 Harford Rd, Baltimore, Maryland or can call to book an appointment on 443-708-7510. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.