Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanisha Jackson

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1700395571

Tanisha Jackson is an Addiction (Substance Use Disorder) Counselor in Lanham, Maryland. Practices as a sole proprietor. Licensed in District of Columbia and Maryland.

Licensed in
DC, MD
In the registry since
2017
Specialties on file
3

Practice location Address checks out

9500 Annapolis Rd A8
Lanham, MD 20706
Phone: (301) 710-9400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LC5879 (MD)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 509417 (DC)
Professional Counselor Taxonomy 101YP2500X · Licence LC5879 (MD)

Record details

NPI number1700395571
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 25, 2017
Last updated in NPPESSeptember 25, 2017

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