Individual provider · Type 1 NPI
Martinna Tiara Jackson
Mental Health Counselor · Hermitage, AR
NPI number
1003731340
Active
Practice location
PO Box 191
Hermitage, AR 71647-0191
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1003731340
Martinna Tiara Jackson's National Provider Identifier is 1003731340, issued on Aug 13, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hermitage, AR. The record was last updated on Aug 13, 2026.