Individual provider · Type 1 NPI

Jacob Jerry Jackson, PhD, LMHC, CADC

Mental Health Counselor · Le Mars, IA

NPI number 1003366329 Active

Practice location

180 10th St SE Ste 201
Le Mars, IA 51031-2557

Call (712) 546-4624 Map

Fax (712) 546-9395

Mailing address

180 10th St SE
Le Mars, IA 51031-2559

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X15081 (IA)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003366329

Jacob Jerry Jackson, PhD, LMHC, CADC's National Provider Identifier is 1003366329, issued on Oct 11, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Le Mars, IA. The record was last updated on Nov 6, 2023.