Individual provider · Type 1 NPI

Katherine Jackson

Mental Health Counselor · Goodyear, AZ

NPI number 1003295809 Active

Practice location

17427 W Wandering Creek Rd
Goodyear, AZ 85338-5735

Call (253) 208-0756 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003295809

Katherine Jackson's National Provider Identifier is 1003295809, issued on May 26, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Goodyear, AZ. The record was last updated on Sep 29, 2026.