Individual provider · Type 1 NPI

Lora J. Jackson, MS, LPC, NCC

Counselor · Everett, PA

NPI number 1013228519 Active

Practice location

110 W Main St
Everett, PA 15537-1131

Mailing address

PO Box 398, 10309 Greenwood Street
Ellerslie, MD 21529-0398

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XPC005514 (PA)
Counselor 101Y00000XLC2939 (MD)

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 1013228519

Lora J. Jackson, MS, LPC, NCC's National Provider Identifier is 1013228519, issued on Jun 29, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Everett, PA. The record was last updated on Jun 29, 2010.