| Mrs Bronte Niccole Jackson, LGPC | |
|
6508 Deer Pointe Dr # 4c, Salisbury, MD 21804-1668 | |
| (410) 742-6016 | |
| Not Available |
| Full Name | Mrs Bronte Niccole Jackson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 14 Years |
| Location | 6508 Deer Pointe Dr # 4c, Salisbury, Maryland |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942956388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LGP9959 (Maryland) | Primary |
| Entity Name | Personal Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093050890 PECOS PAC ID: 7315184777 Enrollment ID: O20130503000021 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Bronte Niccole Jackson, LGPC 6508 Deer Pointe Dr # 4c, Salisbury, MD 21804-1668 Ph: (410) 742-6016 | Mrs Bronte Niccole Jackson, LGPC 6508 Deer Pointe Dr # 4c, Salisbury, MD 21804-1668 Ph: (410) 742-6016 |
Claiborne Beth Ohlsson, CSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Lake St, Center 4 Clean Start, Salisbury, MD 21801 Phone: 410-742-3460 Fax: 410-742-5810 | |
Lela Simon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6508 Deer Pointe Dr Ste 4c, Salisbury, MD 21804 Phone: 410-742-6016 Fax: 410-742-6014 | |
Ashley Shephard, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6508 Deer Pointe Dr Ste 4c, Salisbury, MD 21804 Phone: 410-742-6016 Fax: 410-742-6014 | |
Mrs. Nina Mary Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2336 Goddard Parkway, Salisbury, MD 21801 Phone: 410-334-6961 Fax: 410-334-6960 | |
Katelyn Marie Burke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1113 Healthway Dr, Salisbury, MD 21804 Phone: 410-334-6961 | |
Elizabeth Mitchell Jester, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 6974 Brantley Drive, Salisbury, MD 21804 Phone: 443-397-0030 | |
Michael Paul Weedon, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2336 Goddard Pkwy, Salisbury, MD 21801 Phone: 410-334-6961 Fax: 410-334-6362 |