Individual provider · Type 1 NPI

James M. Jackson, COUNSELOR 3

Counselor · Charleston, WV

NPI number 1003540360 Active

Practice location

2157 Greenbrier St
Charleston, WV 25311-9623

Fax (304) 344-3503

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1003540360

James M. Jackson, COUNSELOR 3's National Provider Identifier is 1003540360, issued on Jul 13, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Charleston, WV. The record was last updated on Jul 13, 2022.